Individual provider Active NPI

Heather R Herbolsheimer, D.O.

  • Obstetrics & Gynecology Physician
  • Barrington, IL
National Provider Identifier
1669495743
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036103219 Issued in IL
Practice address
27401 W Il Route 22
Suite 111
Barrington, IL 60010-5999
Phone
(847) 382-2320
Fax
(847) 842-1501
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036103219 IL Primary

Addresses

Primary practice location

27401 W Il Route 22
Suite 111
Barrington, IL 60010-5999

Mailing address

22285 N Pepper Rd Ste 111
Lake Barrington, IL 60010-2539
Phone (847) 382-7330

Other identifiers 1

IdentifierTypeStateIssuer
1669495743MedicaidIL

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
I20061004000675 IL Practitioner - Obstetrics/Gynecology 8224034863 Reassigns benefits to 1 organization
1 other NPI on this enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Barrington Womens Health Center PCGroup PAC ID 0840268975, 4 clinicians

Practice addresses (Care Compare)

22285 N Pepper Rd
Suite 111
Lake Barrington, IL 60010-2539
Phone (847) 382-7330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Barrington Womens Health Center PC CurrentSince Sep 1, 2018 Accepting new patients
Lake Barrington Women's Health Center, PC Past Accepting new patients
Mobile Anesthesiologists Chicago LLC PastSince Dec 12, 2021 Accepting new patients

Locations

2298 County Line Rd
Algonquin, IL 60102
Phone (847) 854-8542

22285 N Pepper Rd
Ste 111
Lake Barrington, IL 60010
Phone (708) 382-7330

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61178

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1669495743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 111",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102539",
            "telephone_number": "847-382-7330",
            "fax_number": "847-382-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27401 W IL ROUTE 22",
            "address_2": "SUITE 111",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105999",
            "telephone_number": "847-382-2320",
            "fax_number": "847-842-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBOLSHEIMER",
        "first_name": "HEATHER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036103219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669495743",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.