Individual provider Active NPI

Riaz A. Baber, M.D.

  • Psychiatry Physician
  • Naperville, IL
National Provider Identifier
1740365808
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-053870 Issued in IL
Practice address
1460 Bond St
Ste. 300
Naperville, IL 60563-6503
Phone
(630) 859-0120
Fax
(630) 355-7679
NPI assigned
Oct 26, 2006
Last updated
Oct 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036-053870 IL Primary

Addresses

Primary practice location

1460 Bond St
Ste. 300
Naperville, IL 60563-6503

Mailing address

1460 Bond St
Ste 130
Naperville, IL 60563-6502
Phone (630) 859-0120

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
I20050725000093 IL Practitioner - Psychiatry 4082513973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riaz Baber MD SCGroup PAC ID 0143129031, 3 clinicians

Practice addresses (Care Compare)

1460 Bond St
Suite 130
Naperville, IL 60563-6510
Phone 6308590120103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-053870ILMDPsychiatry Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1740365808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 BOND ST",
            "address_2": "STE 130",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636502",
            "telephone_number": "630-859-0120",
            "fax_number": "630-355-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BOND ST",
            "address_2": "STE. 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636503",
            "telephone_number": "630-859-0120",
            "fax_number": "630-355-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABER",
        "first_name": "RIAZ",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-053870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.