Individual provider Active NPI

Rebecca A Barbato, MD

  • Pediatrics Physician
  • Maywood, IL
National Provider Identifier
1386618775
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36104107 Issued in IL
Practice address
2160 S First Ave
(1950 S. Harlem Avenue, No.Riverside, Il. 60546)
Maywood, IL 60153
Phone
(708) 354-9250
Fax
(708) 354-8765
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36104107 IL Primary

Addresses

Primary practice location

2160 S First Ave
(1950 S. Harlem Avenue, No.Riverside, Il. 60546)
Maywood, IL 60153

Mailing address

2160 S First Ave
(1950 S. Harlem Avenue, No.Riverside, Il. 60546)
Maywood, IL 60153
Phone (708) 354-9250

Other practice location 1

1001 Commerce Dr Ste 500
Oak Brook, IL 60523-8865
Phone (331) 732-4630

Other identifiers 1

IdentifierTypeStateIssuer
36104107MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbarbato19192@direct.luhs.org Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100118000156 IL Practitioner - Pediatric Medicine 2163564923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36104107ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2023 Accepting new patients
Central Dupage Physician Group Pediatrics Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

2160 S 1st Ave
#1950S
Maywood, IL 60153
Phone (708) 354-9250

1001 Commerce Dr
Ste 500
Oak Brook, IL 60523
Phone (331) 732-4490

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1386618775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "(1950 S. HARLEM AVENUE, NO.RIVERSIDE, IL. 60546)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-354-9250",
            "fax_number": "708-354-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "(1950 S. HARLEM AVENUE, NO.RIVERSIDE, IL. 60546)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-354-9250",
            "fax_number": "708-354-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Commerce Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605238865",
            "country_code": "US",
            "telephone_number": "331-732-4630",
            "fax_number": "331-732-4631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBATO",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "36104107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36104107",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbarbato19192@direct.luhs.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2160 S First Ave",
            "address_2": "(1950 S. Harlem Avenue, No.Riverside, IL. 60546)",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.