Active NPI
Sofia Amanda Garcia-Buder, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036074618
- Practice address
- 2719 N Halsted St
C-1
Chicago, IL 60614-1413 - Phone
- (773) 388-5685
- Fax
- (773) 388-5687
- NPI assigned
- Jun 4, 2006
- Last updated
- May 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036074618 | IL | Primary |
Addresses
Primary practice location
2719 N Halsted St
C-1
Chicago, IL 60614-1413
Mailing address
2719 N Halsted St
C-1
Chicago, IL 60614-1413
Phone (773) 388-5685
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036074618 | Medicaid | IL | |
| 01632690 | Other | IL | BCBSI |
| 4315864 | Other | IL | CIGNA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036074618 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients |
Locations
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
Organizations & group practices 4
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.
-
dba Community First Emergency Medicine Group
- Emergency Medicine Physician
- Chicago, IL
- NPI 1881059897
-
- Endocrinology, Diabetes & Metabolism Physician
- Chicago, IL
- NPI 1356389035
-
dba Community First Medical Center Radiology
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1053102269
-
dba Community First Medical Group
- Internal Medicine Physician
- Chicago, IL
- NPI 1962894675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1780622183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2719 N HALSTED ST",
"address_2": "C-1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141413",
"telephone_number": "773-388-5685",
"fax_number": "773-388-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 N HALSTED ST",
"address_2": "C-1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141413",
"telephone_number": "773-388-5685",
"fax_number": "773-388-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA-BUDER",
"first_name": "SOFIA",
"middle_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036074618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036074618",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSI",
"identifier": "01632690",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4315864",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.