Active NPI
Horia Stamboliu, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1932155025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036072108
- Practice address
- 326 W 64TH St
Suite 208
Chicago, IL 60621-3114 - Phone
- (773) 865-7825
- NPI assigned
- May 26, 2006
- Last updated
- Jul 10, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036072108 | IL | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036072108 | IL |
Addresses
Primary practice location
326 W 64TH St
Suite 208
Chicago, IL 60621-3114
Mailing address
PO Box 3603
Oak Brook, IL 60522-3603
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400334142 | Other | IL | MEDICARE |
| 036072108 | Medicaid | IL | |
| 13883512 | Other | IL | CAQH |
| QXIPQ0000149354 | Other | IL | AETNA BETTER HEALTH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2720 W Division St
Chicago, IL 60622-2853
Phone (773) 772-7858
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036072108 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vivek Gupta, M.D., S.C. | Internal Medicine | Current | Accepting new patients |
| Charles R Harris & Associates LTD | Past | Accepting new patients | |
| Gama, LLC | Internal Medicine | Past | Accepting new patients |
| RLS Comprehensive Services | Past | Accepting new patients | |
| Associates in Nephrology, S.C. | Past | Accepting new patients | |
| Miracles of Life Day Services Inc. | Past | Accepting new patients | |
| Humboldt Park Health | Internal Medicine | Past | Accepting new patients |
| Rehab Services Stoney Island, S.C. | Internal Medicine | Past | Accepting new patients |
Locations
2720 W Division St
Chicago, IL 60622
Phone (773) 523-8600
326 W 64th St
Ste 203
Chicago, IL 60621
Phone (773) 962-3900
326 W 64th St
Ste 208
Chicago, IL 60621
Phone (773) 865-7825
Organizations & group practices 8
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.
-
- Nephrology Physician
- Chicago, IL
- NPI 1184694259
-
- Neurology Physician
- Chicago, IL
- NPI 1023172392
-
- Adult Day Care Clinic/Center
- Chicago, IL
- NPI 1497812812
-
- Psychiatry Physician
- Chicago, IL
- NPI 1184642928
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811034291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1932155025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3603",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605223603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 W 64TH ST",
"address_2": "SUITE 208",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606213114",
"telephone_number": "773-865-7825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMBOLIU",
"first_name": "HORIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036072108",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036072108",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "F400334142",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036072108",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13883512",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BETTER HEALTH",
"identifier": "QXIPQ0000149354",
"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 Jul 10, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.