Individual provider Active NPI

Somia Elbushra

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1831634880
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
4909 N Marmora Ave
Unit # 2
Chicago, IL 60630-1991
Phone
(312) 874-9586
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X IL Primary

Addresses

Primary practice location

4909 N Marmora Ave
Unit # 2
Chicago, IL 60630-1991

Mailing address

4909 N Marmora Ave
Unit # 2
Chicago, IL 60630-1991
Phone (312) 874-9586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1831634880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 N MARMORA AVE",
            "address_2": "UNIT # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301991",
            "telephone_number": "312-874-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 N MARMORA AVE",
            "address_2": "UNIT # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301991",
            "telephone_number": "312-874-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBUSHRA",
        "first_name": "SOMIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.