NPIMap

Organization Active NPI

Deep Buch, MD SC

  • Psychiatry Physician
  • Palos Heights, IL
National Provider Identifier
1477212751
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DEEP BUCH, MD SC
Practice address
7480 W College Dr Ste 203
Palos Heights, IL 60463-1195
Phone
(708) 361-0540
Fax
(708) 361-1897
NPI assigned
Dec 14, 2021
Last updated
Apr 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Deep Buch, MDNPI 1518113786
Title
Psychiatrist
Phone
(708) 361-0540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

7480 W College Dr Ste 203
Palos Heights, IL 60463-1195

Mailing address

7480 W College Dr Ste 203
Palos Heights, IL 60463-1195
Phone (708) 361-0540

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pbuch7661@att.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221212001853 IL Part B Supplier - Clinic/Group Practice 4981073046 Receives reassigned benefits from 4 practitioners
Practice locations: Palos Heights, IL

National Provider Directory

National Provider Directory

Locations

7480 W College Dr
Ste 203
Palos Heights, IL 60463
Phone (708) 361-0540

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1477212751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 W COLLEGE DR STE 203",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631195",
            "telephone_number": "708-361-0540",
            "fax_number": "708-361-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 W COLLEGE DR STE 203",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631195",
            "telephone_number": "708-361-0540",
            "fax_number": "708-361-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP BUCH, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "BUCH",
        "authorized_official_first_name": "DEEP",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "708-361-0540",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pbuch7661@att.net",
            "affiliation": "N",
            "endpointDescription": "address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7480 W College Dr Ste 203",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.