Active NPI
Estefan Garlit Roy, MD
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1457430852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Practice address
- 5600 W Addison St
Suite 201
Chicago, IL 60634-4401 - Phone
- (773) 577-2141
- Fax
- (773) 577-4143
- NPI assigned
- Nov 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Primary |
Addresses
Primary practice location
5600 W Addison St
Suite 201
Chicago, IL 60634-4401
Mailing address
PO Box 2284
Schiller Park, IL 60176-0284
Phone (847) 685-9326
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100216000542 | IL | Practitioner - Internal Medicine | 6002950920 | Practice locations: Chicago, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036071736 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community First Healthcare of Illinois, Inc | Past | Accepting new patients | |
| Roy Medical Group LLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1649833161
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033214416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457430852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2284",
"city": "SCHILLER PARK",
"state": "IL",
"postal_code": "601760284",
"telephone_number": "847-685-9326",
"fax_number": "847-685-9329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 W ADDISON ST",
"address_2": "SUITE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344401",
"telephone_number": "773-577-2141",
"fax_number": "773-577-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "ESTEFAN",
"middle_name": "GARLIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.