Active NPI
David Noparstak, M.D.
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036052086
- Practice address
- 1945 W Wilson Ave
4TH Floor
Chicago, IL 60640-5255 - Phone
- (773) 769-4600
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036052086 | IL | Primary |
Addresses
Primary practice location
1945 W Wilson Ave
4TH Floor
Chicago, IL 60640-5255
Mailing address
701 Lee St
3Rd Floor
Des Plaines, IL 60016-4539
Phone (847) 390-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36052086 | Medicaid | IL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036052086 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate North Side Health Network | Past | Accepting new patients | |
| Advocate Health Centers, Inc. | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
75 Remittance Dr
Dept 6994
Chicago, IL 60675
29373 Network Pl
Chicago, IL 60673
75 Remittance Dr
Chicago, IL 60675
4211 N Cicero Ave
Ste 308
Chicago, IL 60641
Phone (773) 736-6125
1301 E 47th St
Chicago, IL 60653
Phone (773) 493-8212
1945 W Wilson Ave
Fl 4
Chicago, IL 60640
Phone (773) 736-6220
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1639111933
-
- Clinic/Center
- Chicago, IL
- NPI 1780788323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353628800000",
"number": "1912927146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 LEE ST",
"address_2": "3RD FLOOR",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164539",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 W WILSON AVE",
"address_2": "4TH FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405255",
"telephone_number": "773-769-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOPARSTAK",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2012-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036052086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36052086",
"state": "IL"
}
],
"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 Nov 23, 2012; 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.