NPIMap

Individual provider Active NPI

Beatrisa Paz-Averbuch, MD

  • Family Medicine Physician
  • Skokie, IL
National Provider Identifier
1669638979
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036124447 Issued in IL
Practice address
4860 W. Oakton STR.
Skokie, IL 60077
Phone
(847) 329-0470
Fax
(847) 329-0472
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036124447 IL Primary

Addresses

Primary practice location

4860 W. Oakton STR.
Skokie, IL 60077

Mailing address

4860 Oakton St
Skokie, IL 60077-2953
Phone (847) 329-0470

Other identifiers 1

IdentifierTypeStateIssuer
03612447MedicaidIL

Other names 1

  • Dr. Bea/Beatrisa Paz Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bpazaverbuch254849@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000529 IL Practitioner - Family Practice 6507901212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakton Health Center SCGroup PAC ID 3779628482, 5 clinicians

Practice addresses (Care Compare)

4856 Oakton St
Skokie, IL 60077-2953
Phone (847) 329-0470

4860 Oakton St
Skokie, IL 60077-2953
Phone (847) 329-0470

Hospital & facility affiliations

  • Wellcare Home Health, Inc Home health agency, Northbrook, IL, CCN 147835
  • Americhoice Health Care, Inc Home health agency, Northbrook, IL, CCN 148214
  • Providence Home Health Care, I Home health agency, Northbrook, IL, CCN 147710
  • Progressive Home Health Care Home health agency, Northbrook, IL, CCN 147697
  • Advanta Home Health Care, Inc Home health agency, Northfield, IL, CCN 147887
  • Guardian Healthcare & Hospice, LLC Hospice, Northfield, IL, CCN 141630
  • Sanctuary Hospice Hospice, Westchester, IL, CCN 141648
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Aperion Care Niles Nursing home, Niles, IL, CCN 145999
  • Bella Terra Morton Grove Nursing home, Morton Grove, IL, CCN 145198
  • Greek American Rehab Care Ctr Nursing home, Wheeling, IL, CCN 146031
  • Warren Barr Lieberman Nursing home, Skokie, IL, CCN 145931
  • Elevate Care Des Plaines Nursing home, Des Plaines, IL, CCN 145626

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036124447ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakton Health Center SC Family Medicine CurrentSince Nov 1, 2009 Accepting new patients

Locations

4860 Oakton St
Skokie, IL 60077
Phone (847) 215-8666

Interoperability endpoints

  • Direct secure messaging: bpazaverbuch254849@direct.myadvocateaurora.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJJBCA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aperion Care NilesNiles, IL, CCN 145999 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2022
Jun 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1669638979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772953",
            "telephone_number": "847-329-0470",
            "fax_number": "847-329-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 W. OAKTON STR.",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "847-329-0470",
            "fax_number": "847-329-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ-AVERBUCH",
        "first_name": "BEATRISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036124447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03612447",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpazaverbuch254849@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4860 W. Oakton str.",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BEA/BEATRISA",
            "last_name": "PAZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.