Individual provider Active NPI

Howard Mark Bartman, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1871528653
Registry record updated Jun 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-055478 Issued in IL
Practice address
6374 N Lincoln Ave
201
Chicago, IL 60659-1275
Phone
(312) 738-6170
Fax
(312) 942-1554
NPI assigned
Jul 11, 2006
Last updated
Jun 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2008

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 036-055478 IL Primary

Addresses

Primary practice location

6374 N Lincoln Ave
201
Chicago, IL 60659-1275

Mailing address

6374 N Lincoln Ave
201
Chicago, IL 60659-1275
Phone (312) 738-6170

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
I20101203001167 IL Practitioner - Internal Medicine 3678760584 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-055478ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Hillman Health Centre of the Chicago and Cent St JNT BRD Union CurrentSince Sep 1, 2010 Accepting new patients

Locations

333 S Ashland Ave
Chicago, IL 60607
Phone (312) 738-6170

333 S Ashland Ave
Fl 4
Chicago, IL 60607

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212796800000",
    "number": "1871528653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE",
            "address_2": "201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591275",
            "telephone_number": "312-738-6170",
            "fax_number": "312-942-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE",
            "address_2": "201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591275",
            "telephone_number": "312-738-6170",
            "fax_number": "312-942-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTMAN",
        "first_name": "HOWARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-055478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.