Individual provider Active NPI

Reena Paul, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1457519472
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036119319 Issued in IL
Practice address
500 E 51St St
Family Medicine 7TH Floor
Chicago, IL 60615-2400
Phone
(312) 572-2643
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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 036119319 IL Primary

Addresses

Primary practice location

500 E 51St St
Family Medicine 7TH Floor
Chicago, IL 60615-2400

Mailing address

5864 Betty Gloyd Dr
Hoffman Estates, IL 60192-4626
Phone (773) 387-7396

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpaul@direct.ccprovider.org Direct Cook County

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
I20080918000265 IL Practitioner - Family Practice 3971670878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Suburban Medical Group S.CGroup PAC ID 2163597147, 6 clinicians

Practice addresses (Care Compare)

1555 N Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 843-2000

2201 W Schaumburg Rd
Suite B
Schaumburg, IL 60194-3891
Phone (847) 885-8480

Hospital & facility affiliations

  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Inverness Rehab Nursing home, Inverness, IL, CCN 145994

Merit-based Incentive Payment System (MIPS)

Final score
96.45 of 100Reported as group
Quality
95.38
Improvement activities
40
Cost
65.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036119319ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Nov 1, 2010 Accepting new patients
Cook County Current Accepting new patients
Cook County Family Medicine CurrentSince Nov 1, 2010 Accepting new patients
Northwest Suburban Medical Group S.C Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
Midwest Emergency Associates LTD Past Accepting new patients
24 Ihim LLC PastSince Jul 25, 2019 Accepting new patients
Suburban Emergency Physicians Group, SC Past Accepting new patients

Locations

1900 W Polk St
Ste 220C
Chicago, IL 60612

500 E 51st St
Fl 7
Chicago, IL 60615
Phone (312) 572-2643

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

4909 W Division St
Chicago, IL 60651
Phone (773) 854-8000

25706 Network Pl
Chicago, IL 60673

3150 W Higgins Rd
Ste 130
Hoffman Estates, IL 60169
Phone (847) 277-0111

2201 W Schaumburg Rd
#B
Schaumburg, IL 60194
Phone (847) 885-8480

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGCFBD

Organizations & group practices 7

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 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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1457519472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5864 BETTY GLOYD DR",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924626",
            "telephone_number": "773-387-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 51ST ST",
            "address_2": "FAMILY MEDICINE 7TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152400",
            "telephone_number": "312-572-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "REENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpaul@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.