Individual provider Active NPI

Beatrice Probst, MD

  • Emergency Medicine Physician
  • Maywood, IL
National Provider Identifier
1396725149
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36071136 Issued in IL
Practice address
2160 S First Ave
EMS BLDG., RM. 2700
Maywood, IL 60153
Phone
(708) 327-2700
Fax
(708) 327-3474
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 36071136 IL Primary
Surgery Physician 208600000X 36071136 IL

Addresses

Primary practice location

2160 S First Ave
EMS BLDG., RM. 2700
Maywood, IL 60153

Mailing address

2160 S First Ave
EMS BLDG., RM. 2700
Maywood, IL 60153
Phone (708) 327-2700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bprobst25233@direct.luhs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MT2 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
I20040116000098 IL Practitioner - Emergency Medicine 9931000676 Reassigns benefits to 2 organizations
I20220524001919 MT Practitioner - General PracticePractitioner - Emergency Medicine 9931000676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians

Practice addresses (Care Compare)

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36071136ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Billings Clinic CurrentSince Jul 1, 2022 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Jul 1, 2022 Accepting new patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Nov 1, 2012 Accepting new patients
Loyola University Medical Center CurrentSince May 1, 1996 Accepting new patients
Loyola University Medical Center CurrentSince May 1, 1996 Accepting new patients
Billings Clinic Emergency Medicine Current Accepting new patients

Locations

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

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

2160 S 1st Ave
Rm 2700
Maywood, IL 60153
Phone (708) 327-2700

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

2 Westbrook Corporate Ctr
Ste 600
Westchester, IL 60154
Phone (708) 216-5092

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3901 Wellness Way
Bozeman, MT 59718
Phone (406) 898-1200

Interoperability endpoints

  • Direct secure messaging: bprobst@billingsclinic.cernerdirect.com

Organizations & group practices 8

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

Hospital & facility affiliations 2

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1396725149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "EMS BLDG., RM. 2700",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-327-2700",
            "fax_number": "708-327-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "EMS BLDG., RM. 2700",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-327-2700",
            "fax_number": "708-327-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBST",
        "first_name": "BEATRICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "36071136",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "36071136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bprobst25233@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S First Ave",
            "address_2": "EMS BLDG., RM. 2700",
            "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.