Active NPI
Mansoina Baweja, MD
- Hematology & Oncology Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036119257
- 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, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036119257 1 | Medicaid | IL | |
| 265524100 | Medicaid | FL | |
| P00000944 | Other | FL | RAILROAD MEDICARE |
| 57791 | Other | FL | BLUECROSS/BLUESHIELD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME85565 | FL | MD | Hematology & Oncology Physician |
| 036119257 | IL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Health Ventures | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Edward Health Ventures | Current | 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
- 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.
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1497701882
-
- Multi-Specialty Clinic/Center
- Bolingbrook, IL
- NPI 1962452912
-
- Surgery Physician
- Naperville, IL
- NPI 1215367099
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
dba Edward Medical Group
- Internal Medicine Physician
- Naperville, IL
- NPI 1790735744
-
dba Florida Radiation Oncology Group
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1043230402
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
dba Endeavor Health Edward Hospital
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
dba Endeavor Health Elmhurst Hospital
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
dba Endeavor Health Swedish Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.