NPIMap

Organization Active NPI

St Bernard Hospital

  • Clinical Pathology Physician
  • Chicago, IL
National Provider Identifier
1467922005
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology PhysicianTaxonomy code 207ZC0006X
Legal business name
ST BERNARD HOSPITAL
Practice address
326 W 64TH St
Chicago, IL 60621-3114
Phone
(773) 962-4210
NPI assigned
Nov 27, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Robert C Springer
Title
Cfo
Phone
(773) 962-4210

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040722000725 IL Part B Supplier - Clinic/Group Practice 1759361579 Receives reassigned benefits from 77 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory
Tax ID family
St Bernard Hospital (13 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZC0006X Primary

Addresses

NPPES NPI Registry

Primary practice location

326 W 64TH St
Chicago, IL 60621-3114

Mailing address

326 W 64TH St
Chicago, IL 60621-3114
Phone (773) 962-4210

Other names 1

NPPES NPI Registry
  • SBH Pathology Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2020.

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1467922005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213114",
            "telephone_number": "773-962-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213114",
            "telephone_number": "773-962-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BERNARD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-962-4210"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SBH Pathology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.