Individual provider Active NPI

Mansoina Baweja, MD

  • Hematology & Oncology Physician
  • Naperville, IL
National Provider Identifier
1629052089
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036119257 Issued in IL
Practice address
120 Spalding Dr
Ste 111
Naperville, IL 60540-6766
Phone
(630) 527-3788
Fax
(630) 646-6071
NPI assigned
Nov 30, 2005
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME85565 FL
Hematology & Oncology Physician 207RH0003X 036119257 IL Primary

Addresses

Primary practice location

120 Spalding Dr
Ste 111
Naperville, IL 60540-6766

Mailing address

120 Spalding Dr
Ste 111
Naperville, IL 60540-6766
Phone (630) 527-3788

Other identifiers 4

IdentifierTypeStateIssuer
036119257 1MedicaidIL
265524100MedicaidFL
P00000944OtherFLRAILROAD MEDICARE
57791OtherFLBLUECROSS/BLUESHIELD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mbaweja19997@direct.edward.org Direct
Direct Messaging Address mbaweja19997@direct.edward.org Direct

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
I20080628000037 IL Practitioner - Hematology/Oncology 4486655461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

120 Spalding Dr
Suite 205And207
Naperville, IL 60540-6508
Phone (630) 646-6020

24600 W 127TH St
Plainfield, IL 60585-9507

2650 Ridge Ave
Evanston, IL 60201-1700

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85565FLMDHematology & Oncology Physician
036119257ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Jul 1, 2008 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 30, 2023 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Edward Health Ventures CurrentSince Jul 1, 2008 Accepting new patients
Integrated Community Oncology Network LLC Past Accepting new patients
Edward Health Ventures Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

120 Spalding Dr
Ste 111
Naperville, IL 60540
Phone (630) 527-3788

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

Interoperability endpoints

  • Direct secure messaging: mbaweja19997@direct.edward.org

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1629052089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SPALDING DR",
            "address_2": "STE 111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406766",
            "telephone_number": "630-527-3788",
            "fax_number": "630-646-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SPALDING DR",
            "address_2": "STE 111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406766",
            "telephone_number": "630-527-3788",
            "fax_number": "630-646-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWEJA",
        "first_name": "MANSOINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME85565",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036119257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036119257 1",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265524100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00000944",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "57791",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbaweja19997@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "120 Spalding Dr",
            "address_2": "Ste 111",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbaweja19997@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "120 Spalding Dr",
            "address_2": "Ste 111",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.