Individual provider Active NPI

Rachel Leah Blumenthal, C.N.M.

  • Advanced Practice Midwife
  • Vernon Hills, IL
National Provider Identifier
1861618647
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209002184 Issued in IL
Practice address
225 N Milwaukee Ave
Vernon Hills, IL 60061-4304
Phone
(847) 941-7600
Fax
(847) 941-7697
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209002184 IL Primary

Addresses

Primary practice location

225 N Milwaukee Ave
Vernon Hills, IL 60061-4304

Mailing address

2740 W Foster Ave
LL7
Chicago, IL 60625-3500
Phone (773) 878-8200

Other practice location 1

5140 N California Ave
Suite 635-645
Chicago, IL 60625-3645
Phone (773) 989-6200

Other practice location 2

1329 N Wolf Rd
MT Prospect, IL 60056-1500
Phone (847) 941-7600

Other identifiers 4

IdentifierTypeStateIssuer
406120023OtherPTAN
041257545OtherILRN STATE LICENSE
0412577545MedicaidIL
209002184OtherILAPN STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rblumenthal277026@direct.northshore.org

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140401001059 IL Practitioner - Certified Nurse Midwife (CNM) 1658450499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

225 N Milwaukee Ave
Vernon Hills, IL 60061-4304
Phone (847) 941-7600

2650 Ridge Ave
Evanston, IL 60201-1700

757 Park Ave W
Suite 2800
Highland Park, IL 60035-2557
Phone (847) 926-6500

7900 Rollins Rd
Gurnee, IL 60031-1512

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209002184ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jan 27, 2023 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Jul 19, 2010 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 27, 2023 Accepting new patients
Swedish Covenant Management Services, Inc. Advanced Practice Midwife Current Accepting new patients
Swedish Covenant Management Services, Inc. CurrentSince Jul 19, 2010 Accepting new patients

Locations

2740 W Foster Ave
Ste LL7
Chicago, IL 60625

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

2740 W Foster Ave
Ste 310
Chicago, IL 60625

5140 N California Ave
Ste 635645
Chicago, IL 60625
Phone (773) 989-6200

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

1329 N Wolf Rd
Mt Prospect, IL 60056
Phone (847) 803-3040

225 N Milwaukee Ave
Vernon Hills, IL 60061
Phone (847) 941-7600

Organizations & group practices 5

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 1

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1861618647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "LL7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MILWAUKEE AVE",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600614304",
            "telephone_number": "847-941-7600",
            "fax_number": "847-941-7697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5140 N California Ave",
            "address_2": "SUITE 635-645",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253645",
            "country_code": "US",
            "telephone_number": "773-989-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1329 N Wolf Rd",
            "address_purpose": "LOCATION",
            "city": "MT Prospect",
            "state": "IL",
            "postal_code": "600561500",
            "country_code": "US",
            "telephone_number": "847-941-7600",
            "fax_number": "847-941-7697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUMENTHAL",
        "first_name": "RACHEL",
        "middle_name": "LEAH",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209002184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "406120023",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN STATE LICENSE",
            "identifier": "041257545",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0412577545",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN STATE LICENSE",
            "identifier": "209002184",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rblumenthal277026@direct.northshore.org",
            "affiliation": "N",
            "address_1": "5140 N California Ave",
            "address_2": "SUITE 635-645",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.