Organization Active NPI

Saint Xavier University

  • Registered Nurse
  • Chicago, IL
National Provider Identifier
1851697700
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
SAINT XAVIER UNIVERSITY
Practice address
3700 West 103Rd Street
Chicago, IL 60655-3105
Phone
(773) 298-3031
Fax
(773) 298-3222
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Raymond P. Catania
Title
Chief Financial Officier
Phone
(773) 298-3031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

3700 West 103Rd Street
Chicago, IL 60655-3105

Mailing address

3700 West 103Rd Street
The Office for Business and Finance
Chicago, IL 60655-3105
Phone (773) 298-3031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131218001691 IL Part B Supplier - Clinic/Group Practice 8022245083 Receives reassigned benefits from 9 practitioners
Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1050373Saint Xavier University Health Center3700 West 103Rd Street, Chicago, IL 60655Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Locations

3925 W 103rd St
Chicago, IL 60655
Phone (772) 298-3712

3700 W 103rd St
Ofc For
Chicago, IL 60655

3700 W 103rd St
Chicago, IL 60655
Phone (773) 298-3571

3700 W 103rd St
Ste 4
Chicago, IL 60655

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1851697700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WEST 103RD STREET",
            "address_2": "THE OFFICE FOR BUSINESS AND FINANCE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553105",
            "telephone_number": "773-298-3031",
            "fax_number": "773-298-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WEST 103RD STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553105",
            "telephone_number": "773-298-3031",
            "fax_number": "773-298-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT XAVIER UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "CATANIA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICIER",
        "authorized_official_telephone_number": "773-298-3031"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "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 Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.