Organization Active NPI

Barnabas Medical Associates SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1558536367
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042006296/ 036061422 Issued in IL
Legal business name
BARNABAS MEDICAL ASSOCIATES SC
Practice address
5015 N Paulina St
Suite 225
Chicago, IL 60640-2756
Phone
(773) 561-4440
Fax
(773) 561-9211
NPI assigned
Apr 23, 2008
Last updated
Apr 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Dr. Satish Thomas Barnabas, M.D.NPI 1700966413
Title
President
Phone
(773) 561-4440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 042006296/ 036061422 IL Primary

Addresses

Primary practice location

5015 N Paulina St
Suite 225
Chicago, IL 60640-2756

Mailing address

5015 N Paulina St
Suite 225
Chicago, IL 60640-2756
Phone (773) 561-4440

Other identifiers 1

IdentifierTypeStateIssuer
036061422MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110609000707 IL Part B Supplier - Clinic/Group Practice 2961689450 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago Heights, IL; Dolton, IL; Midlothian, IL; Morton Grove, IL; South Chicago Heights, IL; Chicago, IL

National Provider Directory

National Provider Directory

Locations

2026 N Clark St
Chicago, IL 60614
Phone (773) 549-1840

5015 N Paulina St
Ste 225
Chicago, IL 60640
Phone (312) 561-4440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1558536367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 N PAULINA ST",
            "address_2": "SUITE 225",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402756",
            "telephone_number": "773-561-4440",
            "fax_number": "773-561-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 N PAULINA ST",
            "address_2": "SUITE 225",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402756",
            "telephone_number": "773-561-4440",
            "fax_number": "773-561-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNABAS MEDICAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "BARNABAS",
        "authorized_official_first_name": "SATISH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-561-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "042006296/ 036061422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061422",
            "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 Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.