Individual provider Active NPI

Julianne Muus Martinez de Ubago, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Chicago, IL
National Provider Identifier
1750644340
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
125061211 Issued in IL
Practice address
251 E Huron St
Dept of Pathology, Feinberg Pavilion, 7TH Floor
Chicago, IL 60611-2908
Phone
(312) 503-8144
Fax
(312) 503-8249
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 125061211 IL Primary

Addresses

Primary practice location

251 E Huron St
Dept of Pathology, Feinberg Pavilion, 7TH Floor
Chicago, IL 60611-2908

Mailing address

251 E Huron St
Dept of Pathology, Feinberg Pavilion, 7TH Floor
Chicago, IL 60611-2908

Other identifiers 1

IdentifierTypeStateIssuer
125061211OtherILLICENSE NUMBER

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
I20180821000330 IL Practitioner - Pathology 6608125927 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists and Laboratory Physicians LLCGroup PAC ID 0446582175, 13 clinicians
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians
Laboratory and Pathology Diagnostics LLCGroup PAC ID 4486630886, 13 clinicians

Practice addresses (Care Compare)

1206 E 9TH St
Suite 200a
Lockport, IL 60441-2404
Phone (630) 527-3000

1220 Hobson Rd
Suite 204
Naperville, IL 60540-8138
Phone (630) 416-7766

30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-3000

801 S Washington St
Naperville, IL 60540-7499
Phone (630) 355-0450

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125061211ILMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Jun 7, 2021 Accepting new patients
Edward Hospital Current Accepting new patients
Associated Pathologists and Laboratory Physicians, LLC CurrentSince Aug 27, 2019 Accepting new patients
Dupage Medical Group LTD CurrentSince Jun 7, 2021 Accepting new patients
Laboratory & Pathology Diagnostics, LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 4, 2018 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

Dept 4387
Carol Stream, IL 60122

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1220 Hobson Rd
Ste 244
Naperville, IL 60540
Phone (630) 357-9308

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: jmartinezdeubago179738@direct.edward.org

Organizations & group practices 6

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 2

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1750644340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "address_2": "DEPT OF PATHOLOGY, FEINBERG PAVILION, 7TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "address_2": "DEPT OF PATHOLOGY, FEINBERG PAVILION, 7TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "312-503-8144",
            "fax_number": "312-503-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ DE UBAGO",
        "first_name": "JULIANNE",
        "middle_name": "MUUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "125061211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "125061211",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.