Individual provider Active NPI

Michael D Baldinger, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Chicago, IL
National Provider Identifier
1598879223
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
036055789 Issued in IL
Practice address
1150 W Fullerton Ave
2ND FLR
Chicago, IL 60614-8160
Phone
(773) 549-7757
Fax
(773) 549-1221
NPI assigned
Aug 19, 2006
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036055789 IL
Addiction Medicine (Internal Medicine) Physician 207RA0401X 036055789 IL Primary

Addresses

Primary practice location

1150 W Fullerton Ave
2ND FLR
Chicago, IL 60614-8160

Mailing address

1150 W Fullerton Ave
2ND FLR
Chicago, IL 60614-8160
Phone (773) 549-7757

Other practice location 1

124 N Sangamon St
Chicago, IL 60607-2202
Phone (312) 550-1312

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbaldinger17074@ce-direct.presencehealth.org

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
I20110112000636 IL Practitioner - Internal MedicinePractitioner - Addiction Medicine 6901868561 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036055789ILMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services Internal Medicine Current Accepting new patients
Presence Healthcare Services Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients
Presence Healthcare Services Past Accepting new patients
Sage Medical Group, SC Internal Medicine PastSince Feb 1, 1994 Accepting new patients

Locations

1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440
Phone (630) 914-2417

1150 W Fullerton Ave
Chicago, IL 60614
Phone (773) 549-7757

1150 W Fullerton Ave
Ste 2
Chicago, IL 60614
Phone (773) 549-7757

62311 Collection Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: mbaldinger17074@ce-direct.presencehealth.org
  • Direct secure messaging: michael.baldinger.p1@direct.hcenter.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1598879223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W FULLERTON AVE",
            "address_2": "2ND FLR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606148160",
            "telephone_number": "773-549-7757",
            "fax_number": "773-549-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W FULLERTON AVE",
            "address_2": "2ND FLR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606148160",
            "telephone_number": "773-549-7757",
            "fax_number": "773-549-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 N Sangamon St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606072202",
            "country_code": "US",
            "telephone_number": "312-550-1312",
            "fax_number": "312-226-8048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDINGER",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036055789",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "IL",
            "license": "036055789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbaldinger17074@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "1150 W Fullerton Ave",
            "address_2": "2nd Flr",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606148160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.