Active NPI
Beverley Robin, MD
- Neonatal-Perinatal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 01065473A
- Practice address
- 1464 S Michigan Ave
Suite 1304
Chicago, IL 60605-3711 - Phone
- (773) 320-5727
- Fax
- (312) 939-0188
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 036100413 | IL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 01065473A | IN | Primary |
Addresses
Primary practice location
1464 S Michigan Ave
Suite 1304
Chicago, IL 60605-3711
Mailing address
1464 S Michigan Ave
Suite 1304
Chicago, IL 60605-3711
Phone (773) 320-5727
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200263150 | Medicaid | IN | |
| 036100413 | Medicaid | IL | |
| 000000647638 | Other | IN | ANTHEM |
| 000000632893 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200606090A | Medicaid | KS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
1653 W Congress Pkwy
#622
Chicago, IL 60612
Phone (312) 942-5068
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
Interoperability endpoints
- brobin48993@direct.rush.rush-health.com
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.
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- NPI 1801375696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268784000000",
"number": "1487607891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1464 S MICHIGAN AVE",
"address_2": "SUITE 1304",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053711",
"telephone_number": "773-320-5727",
"fax_number": "312-939-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1464 S MICHIGAN AVE",
"address_2": "SUITE 1304",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053711",
"telephone_number": "773-320-5727",
"fax_number": "312-939-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBIN",
"first_name": "BEVERLEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2010-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "036100413",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IN",
"license": "01065473A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200263150",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036100413",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000647638",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000632893",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200606090A",
"state": "KS"
}
],
"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 Mar 17, 2010; 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.