Active NPI
Nanette Y. Fabi, M.D.
- Internal Medicine Physician
- Lansing, IL
National Provider Identifier
1548269228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036089814
- Practice address
- 18127 William St
Lansing, IL 60438-3921 - Phone
- (708) 474-8844
- Fax
- (708) 474-6135
- NPI assigned
- Jul 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036089814 | IL | Primary |
Addresses
Primary practice location
18127 William St
Lansing, IL 60438-3921
Mailing address
27702 Network PL
Chicago, IL 60673-1277
Phone (708) 862-7674
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110139210 | Other | IL | RRM |
| 036089814 | Medicaid | IL | |
| F400460536 | Other | IL | MEDICARE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041111000055 | IL | Practitioner - Internal Medicine | 7517920473 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucm Medical Group Sub, LLC | Internal Medicine | Current | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
27702 Network Pl
Chicago, IL 60673
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
18127 William St
Lansing, IL 60438
Phone (708) 474-8844
Organizations & group practices 1
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": "1545177600000",
"number": "1548269228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27702 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731277",
"telephone_number": "708-862-7674",
"fax_number": "708-862-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18127 WILLIAM ST",
"city": "LANSING",
"state": "IL",
"postal_code": "604383921",
"telephone_number": "708-474-8844",
"fax_number": "708-474-6135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABI",
"first_name": "NANETTE",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036089814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "110139210",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036089814",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "F400460536",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.