Active NPI
Paula Cavens, MD
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1528084779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036-098850
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036098850 | Medicaid | IL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-098850 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
-
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
- Federally Qualified Health Center (FQHC)
- Arlington Heights, IL
- NPI 1487987459
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
-
- Family Medicine Physician
- Chicago, IL
- NPI 1922060938
Obstetrics & Gynecology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2012; 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.