Individual provider Active NPI

Laverne Monise Barnes, DO, MPH

  • Family Medicine Physician
  • Harvey, IL
National Provider Identifier
1427076587
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036110716 Issued in IL
Practice address
31 W 155TH St
Harvey, IL 60426-3556
Phone
(708) 596-5177
Fax
(708) 522-0410
NPI assigned
Jul 17, 2006
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036110716 IL Primary

Addresses

Primary practice location

31 W 155TH St
Harvey, IL 60426-3556

Mailing address

31 W 155TH St
Harvey, IL 60426-3556
Phone (708) 596-5177

Other practice location 1

2813 W. 147th Street
Posen, IL 60469
Phone (708) 396-9777

Other practice location 2

19767 Torrence Ave
Lynwood, IL 60411-7624
Phone (708) 596-5177 ext. 8793

Other practice location 3

713 E 142nd St
Dolton, IL 60419-1062
Phone (708) 596-5177

Other practice location 4

402 Town Center Rd
Matteson, IL 60443-2300
Phone (708) 852-5179

Other identifiers 1

IdentifierTypeStateIssuer
F400223220OtherILMEDICARE PTAN

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
I20060405000535 IL Practitioner - Family Practice 5496763286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036110716ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Christian Health Center CurrentSince Dec 6, 2023 Accepting new patients
Horizon Barnes LTD CurrentSince Jul 23, 2007 Accepting new patients
Midwest Express Care 2, Inc Family Medicine CurrentSince Mar 3, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Mar 3, 2024 Accepting new patients
Olympia Fields Eyecare, LTD. Past Accepting new patients
Midwest Express Care 2, Inc PastSince Nov 6, 2022 Accepting new patients
Human Enhancement Services NFP Past Accepting new patients
L Barnes LTD PastSince Oct 1, 2006 Accepting new patients

Locations

4403 W Lawrence Ave
Ste 209
Chicago, IL 60630
Phone (773) 736-4444

713 E 142nd St
Dolton, IL 60419
Phone (708) 596-5177

31 W 155th St
Harvey, IL 60426
Phone (708) 596-5177

19767 Torrence Ave
Lynwood, IL 60411
Phone (708) 596-5177

402 Town Center Rd
Matteson, IL 60443
Phone (708) 843-1877

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 9

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1427076587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 155TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263556",
            "telephone_number": "708-596-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 155TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263556",
            "telephone_number": "708-596-5177",
            "fax_number": "708-522-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2813 W. 147th Street",
            "address_purpose": "LOCATION",
            "city": "Posen",
            "state": "IL",
            "postal_code": "60469",
            "country_code": "US",
            "telephone_number": "708-396-9777",
            "fax_number": "708-720-5162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19767 Torrence Ave",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "IL",
            "postal_code": "604117624",
            "country_code": "US",
            "telephone_number": "708-596-5177 x8793",
            "fax_number": "708-522-0410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 E 142nd St",
            "address_purpose": "LOCATION",
            "city": "Dolton",
            "state": "IL",
            "postal_code": "604191062",
            "country_code": "US",
            "telephone_number": "708-596-5177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 Town Center Rd",
            "address_purpose": "LOCATION",
            "city": "Matteson",
            "state": "IL",
            "postal_code": "604432300",
            "country_code": "US",
            "telephone_number": "708-852-5179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LAVERNE",
        "middle_name": "MONISE",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036110716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400223220",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

Verify at the official NPI Registry.