Individual provider Active NPI

Elaine Cabugason, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1386987238
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125.062788 Issued in IL
Practice address
1514 E 87TH St
Chicago, IL 60619-6525
Phone
(773) 978-0757
Fax
(708) 978-0705
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.062788 IL Primary

Addresses

Primary practice location

1514 E 87TH St
Chicago, IL 60619-6525

Mailing address

1514 E 87TH St
Chicago, IL 60619-6525
Phone (773) 978-0757

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ecabugason278431@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160818000467 IL Practitioner - Internal Medicine 0941501654 Reassigns benefits to 3 organizations
I20220307000206 IN Practitioner - Internal Medicine 0941501654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rudyard Smith MD and Associates SCGroup PAC ID 2567360803, 4 clinicians
American Medical Associates LLCGroup PAC ID 8224006721, 3 clinicians

Practice addresses (Care Compare)

1514 E 87TH St
Chicago, IL 60619-6525
Phone (773) 978-0757

9250 Columbia Ave
Suite 1F
Munster, IN 46321-3530
Phone (219) 937-9653

Hospital & facility affiliations

  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048
  • Franciscan Health Munster Hospital, Munster, IN, CCN 150165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.062788ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Aug 5, 2016 Accepting new patients
American Medical Associates LLC Internal Medicine CurrentSince Dec 3, 2021 Accepting new patients
Innovative Platinum Care, SC CurrentSince Oct 1, 2017 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Aug 5, 2016 Accepting new patients
Rudyard Smith MD and Associates SC Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Seby S C Past Accepting new patients

Locations

1514 E 87th St
Chicago, IL 60619
Phone (773) 978-0757

3510 W 79th St
Chicago, IL 60652
Phone (773) 978-0703

2400 N Ashland Ave
Chicago, IL 60614
Phone (773) 259-7180

2400 N Ashland Ave
Ste 150
Chicago, IL 60614
Phone (773) 270-5600

7906 S Crandon Ave
Ste 5
Chicago, IL 60617
Phone (773) 978-0757

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

501 Skokie Blvd
Northbrook, IL 60062
Phone (847) 504-2300

9250 Columbia Ave
Ste 1F
Munster, IN 46321
Phone (219) 548-7503

Interoperability endpoints

  • Direct secure messaging: ecabugasonmd239654@uchospital.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1386987238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196525",
            "telephone_number": "773-978-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196525",
            "telephone_number": "773-978-0757",
            "fax_number": "708-978-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABUGASON",
        "first_name": "ELAINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.062788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecabugason278431@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 Golf Rd Ste 2-1100",
            "city": "Rolling Meadows",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600084257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1701 Golf Rd Ste 2-1100",
            "city": "Rolling Meadows",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600084257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.