Individual provider Active NPI

Andra Munteanu, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1912934456
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036099939 Issued in IL
Practice address
201 E Huron St
Ste. 11-260
Chicago, IL 60611-3197
Phone
(312) 926-3470
Fax
(312) 926-3483
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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 036099939 IL Primary

Addresses

Primary practice location

201 E Huron St
Ste. 11-260
Chicago, IL 60611-3197

Mailing address

201 E Huron St
Ste. 11-260
Chicago, IL 60611-3197
Phone (312) 926-3470

Other identifiers 1

IdentifierTypeStateIssuer
036099939MedicaidIL

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
I20040601000873 IL Practitioner - Internal Medicine 6507847993 Reassigns benefits to 2 organizations
Practice locations: Mahomet, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baal Perazim Wellness and Health Services PCGroup PAC ID 2567834666, 11 clinicians

Practice addresses (Care Compare)

2835 N Sheffield Ave
Suite 500
Chicago, IL 60657-5084
Phone (773) 296-2400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baal Perazim Wellness, Inc Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Northwestern Medical Faculty Foundation Current Accepting new patients
Baal Perazim Wellness and Health Services PC Internal Medicine CurrentSince Nov 10, 2022 Accepting new patients
Advocate North Side Health Network Past Accepting new patients
Chicago Medical Center,SC Internal Medicine Past Accepting new patients
MBS Envision LLC PastSince Aug 2, 2020 Accepting new patients
Daniel S Berger, M.D. LTD Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

2835 N Sheffield Ave
Ste 500
Chicago, IL 60657
Phone (773) 525-6955

3416 S Halsted St
Chicago, IL 60608
Phone (773) 451-9444

676 N Saint Clair St
Ste 1525
Chicago, IL 60611
Phone (312) 274-1811

Organizations & group practices 7

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1912934456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E HURON ST",
            "address_2": "STE. 11-260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113197",
            "telephone_number": "312-926-3470",
            "fax_number": "312-926-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E HURON ST",
            "address_2": "STE. 11-260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113197",
            "telephone_number": "312-926-3470",
            "fax_number": "312-926-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTEANU",
        "first_name": "ANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036099939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099939",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.