Ian Robert Macumber, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

125-056527 Issued in IL

Practice address

1653 W Congress Parkway
Chicago, IL 60612

Phone

(978) 846-1443

NPI assigned

Jun 17, 2009

Last updated

Jul 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: imacumber32780@connecticutchildrens.direct-ci.com

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1891922886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W WRIGHTWOOD AVE",
            "address_2": "APT 215",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142542",
            "telephone_number": "978-846-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "978-846-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACUMBER",
        "first_name": "IAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-056527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick J Macrae, L.C.S.W.
• Attilio Macrito, D.O.
• Sarah Macrowski Macaraeg, PT, DPT
• Karolina Maculewicz
• Macumber Medical LTD (Advanced Vein Center)
• Michelle Lea Macy, MD
• Samuel Thomas Macy, PSYD
• Jo Anne Maczulski, OTR L
• Shreshtha Madaan, M.S.
• Inderpreet Kaur Madahar, MD

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.

Verify at the official NPI Registry.