Individual provider Active NPI

Paula Cavens, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1528084779
Registry record updated May 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-098850 Issued in IL
Practice address
3229 W 47TH PL
Chicago, IL 60632-3011
Phone
(773) 254-6044
Fax
(773) 254-6115
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-098850 IL Primary

Addresses

Primary practice location

3229 W 47TH PL
Chicago, IL 60632-3011

Mailing address

3229 W 47TH PL
Chicago, IL 60632-3011
Phone (773) 254-6044

Other identifiers 1

IdentifierTypeStateIssuer
036098850MedicaidIL

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
I20040513000440 IL Practitioner - Obstetrics/Gynecology 7911997978 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-098850ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Jan 1, 2014 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jan 1, 2014 Accepting new patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Jul 1, 2002 Accepting new patients
Access Community Health Network CurrentSince Jul 1, 2002 Accepting new patients
VHS Acquisition Subsidiary Number 3 Inc Obstetrics & Gynecology Past Accepting new patients

Locations

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

1501 S California Ave
Chicago, IL 60608
Phone (773) 257-6770

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

Organizations & group practices 6

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336262400000",
    "number": "1528084779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 W 47TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606323011",
            "telephone_number": "773-254-6044",
            "fax_number": "773-254-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 W 47TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606323011",
            "telephone_number": "773-254-6044",
            "fax_number": "773-254-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVENS",
        "first_name": "PAULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-098850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098850",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.