Individual provider Active NPI

Charles Steinbruegge, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1528067253
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036083501 Issued in IL
Practice address
2840 N Lincoln Ave
Unit a
Chicago, IL 60657-4813
Phone
(773) 883-1259
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036083501 IL Primary

Addresses

Primary practice location

2840 N Lincoln Ave
Unit a
Chicago, IL 60657-4813

Mailing address

2840 N Lincoln Ave
Unit a
Chicago, IL 60657
Phone (773) 883-1259

Other identifiers 2

IdentifierTypeStateIssuer
04532206OtherILBLUE CROSS BLUE SHIELD
036083501MedicaidIL

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
I20240522002914 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6103885785

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iwona Sobczak MD, SC Past Accepting new patients
Greater Elgin Emergency Specialists LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: csteinbruegge80511@direct.franciscanalliance.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1528067253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 N LINCOLN AVE",
            "address_2": "UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-883-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 N LINCOLN AVE",
            "address_2": "UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574813",
            "telephone_number": "773-883-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINBRUEGGE",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036083501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04532206",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083501",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.