NPIMap

Organization Active NPI

Urbancare, LLC

  • Internal Medicine Physician
  • Lake in the Hills, IL
National Provider Identifier
1629449053
Registry record updated Jan 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
URBANCARE, LLC
Practice address
170 North Lakewood Road
Lake in the Hills, IL 60156-5945
Phone
(224) 569-4000
Fax
(877) 686-5642
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2016

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

Authorized official

Name
George W Urban, M.D.NPI 1215920699
Title
Managing Member
Phone
(224) 569-4000

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 MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

170 North Lakewood Road
Lake in the Hills, IL 60156-5945

Mailing address

170 North Lakewood Road
Lake in the Hills, IL 60156-5945
Phone (224) 569-4000

Other names 1

  • Premier Health Specialists Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151124001045 IL Part B Supplier - Clinic/Group Practice 2466752480 Receives reassigned benefits from 10 practitioners
Practice locations: Barrington, IL; Elgin, IL; Huntley, IL; Lake in the Hills, IL; McHenry, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2103453Urbancare LLC170 N Lakewood Rd, Lake in the Hills, IL 60156Certificate of waiverOct 12, 2027

National Provider Directory

National Provider Directory

Locations

450 W Il Route 22
#4
Barrington, IL 60010
Phone (847) 381-9600

170 N Lakewood Rd
Lk in the Hls, IL 60156
Phone (224) 569-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHHCAD

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452297600000",
    "number": "1629449053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NORTH LAKEWOOD ROAD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565945",
            "telephone_number": "224-569-4000",
            "fax_number": "877-686-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NORTH LAKEWOOD ROAD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565945",
            "telephone_number": "224-569-4000",
            "fax_number": "877-686-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBANCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2016-01-09",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "224-569-4000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Health Specialists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.