Individual provider Active NPI

Caroline Nawara, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1851388995
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036081137 Issued in IL
Practice address
401 S State St
Suite 430
Chicago, IL 60605-1229
Phone
(312) 789-4677
Fax
(312) 789-4676
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036081137 IL Primary

Addresses

Primary practice location

401 S State St
Suite 430
Chicago, IL 60605-1229

Mailing address

401 S State St
Suite 430
Chicago, IL 60605-1229
Phone (312) 789-4677

Other identifiers 1

IdentifierTypeStateIssuer
036081137MedicaidIL

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
I20041118000678 IL Practitioner - Internal Medicine 7012813132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 N Michigan Ave
Suite 1218
Chicago, IL 60602-3735
Phone (312) 789-4677

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.69 of 100Reported as group
Quality
82.35
Promoting interoperability
98
Improvement activities
40
Cost
74.95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caroline Nawara MD, S.C. Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Internal Medicine Associates, LLC Internal Medicine Past Accepting new patients

Locations

30 N Michigan Ave
Ste 1218
Chicago, IL 60602
Phone (312) 789-4677

Organizations & group practices 2

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 4

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1851388995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S STATE ST",
            "address_2": "SUITE 430",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051229",
            "telephone_number": "312-789-4677",
            "fax_number": "312-789-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S STATE ST",
            "address_2": "SUITE 430",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051229",
            "telephone_number": "312-789-4677",
            "fax_number": "312-789-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWARA",
        "first_name": "CAROLINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036081137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081137",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.