Individual provider Active NPI

Jane K. Bahk, M.D.

  • Ophthalmology Physician
  • Oak Park, IL
National Provider Identifier
1639158314
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036102713 Issued in IL
Practice address
1 Erie CT
Suite 6140
Oak Park, IL 60302-2566
Phone
(708) 848-2400
Fax
(708) 445-8269
NPI assigned
Jan 11, 2006
Last updated
Jul 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036102713 IL Primary

Addresses

Primary practice location

1 Erie CT
Suite 6140
Oak Park, IL 60302-2566

Mailing address

260 E Chestnut St
Unit 612
Chicago, IL 60611-2401

Other identifiers 4

IdentifierTypeStateIssuer
036102713MedicaidIL
K46497OtherILMEDICARE PROVIDER NUMBER
0031600193OtherILBLUE SHIELD
180041057OtherILRAILROAD MEDICARE

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
I20071121000170 IL Practitioner - Ophthalmology 3072601293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Suburban Eye Associates LLCGroup PAC ID 8628029543, 3 clinicians

Practice addresses (Care Compare)

1011 Lake St
Suite 300
Oak Park, IL 60301-1138
Phone (708) 488-1900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Suburban Eye Associates LLC CurrentSince Sep 1, 2007 Accepting new patients
West Suburban Eye Associates LLC Ophthalmology CurrentSince Sep 1, 2007 Accepting new patients

Locations

1 Erie Ct
Ste 6140
Oak Park, IL 60302
Phone (708) 848-2400

1011 Lake St
Ste 300
Oak Park, IL 60301
Phone (708) 366-7896

7411 Lake St
River Forest, IL 60305
Phone (708) 488-1700

7411 Lake St
Ste 1140
River Forest, IL 60305
Phone (708) 488-1900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIEFCA
  • Direct secure messaging: jane.bahk@wsea.eclinicaldirectplus.com

Organizations & group practices 2

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 1

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1639158314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E CHESTNUT ST",
            "address_2": "UNIT 612",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ERIE CT",
            "address_2": "SUITE 6140",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022566",
            "telephone_number": "708-848-2400",
            "fax_number": "708-445-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHK",
        "first_name": "JANE",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036102713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102713",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "K46497",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0031600193",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180041057",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.