Active NPI
Boaz Yehuda Bishop
- Nephrology Physician
- Chicago, IL
National Provider Identifier
1851929681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 125.076182
- Practice address
- 251 E Huron St
Chicago, IL 60611-2908 - Phone
- (754) 399-5408
- NPI assigned
- Mar 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1-35773 | ZZ | |
| Nephrology Physician | 207RN0300X | 125.076182 | IL | Primary |
Addresses
Primary practice location
251 E Huron St
Chicago, IL 60611-2908
Mailing address
525 W Hawthorne PL Apt 2104
Chicago, IL 60657-2905
Phone (754) 399-5408
Other practice location 1
8 Haalia street
Rambam hospital
Haifa, Haifa 3525408
IL
Phone (972) 477-7133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-35773 | ZZ | MD | Internal Medicine Physician |
| 125.076182 | IL | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1851929681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 W HAWTHORNE PL APT 2104",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572905",
"telephone_number": "754-399-5408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E HURON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "754-399-5408"
}
],
"practiceLocations": [
{
"address_1": "8 Haalia street",
"address_2": "Rambam hospital",
"address_purpose": "LOCATION",
"city": "Haifa",
"state": "Haifa",
"postal_code": "3525408",
"country_code": "IL",
"telephone_number": "972-477-7133",
"country_name": "Israel",
"address_type": "FGN"
}
],
"basic": {
"last_name": "BISHOP",
"first_name": "BOAZ",
"middle_name": "YEHUDA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-28",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ZZ",
"license": "1-35773",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "125.076182",
"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 Jun 23, 2020; 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.