Individual provider Active NPI

Robyn Garcia, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1932195336
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036098215 Issued in IL
Practice address
5101 S Kildare Ave
Chicago, IL 60632-4608
Phone
(773) 735-5600
Fax
(773) 735-9489
NPI assigned
Sep 22, 2005
Last updated
Jul 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036098215 IL Primary

Addresses

Primary practice location

5101 S Kildare Ave
Chicago, IL 60632-4608

Mailing address

5501 W 79TH St
Suite 400
Burbank, IL 60459-1784
Phone (773) 767-8283

Other identifiers 3

IdentifierTypeStateIssuer
080180995OtherILRAILROAD MEDICARE
036098215MedicaidIL
1632097OtherILBLUE SHIELD

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
I20081009000445 IL Practitioner - Family Practice 6901979392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garcia Life Partners LTDGroup PAC ID 4385717776, 2 clinicians

Practice addresses (Care Compare)

5101 S Kildare
Chicago, IL 60632-4608
Phone (773) 735-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036098215ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garcia Life Partners LTD Family Medicine CurrentSince May 6, 2002 Accepting new patients
Gottlieb Community Health Services Corporation PastSince May 6, 2002 Accepting new patients

Locations

5501 W 79th St
Ste 400
Burbank, IL 60459

7937 S Harlem Ave
Burbank, IL 60459

5101 S Kildare Ave
Chicago, IL 60632
Phone (773) 735-5600

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1932195336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W 79TH ST",
            "address_2": "SUITE 400",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591784",
            "telephone_number": "773-767-8283",
            "fax_number": "773-767-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 S KILDARE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324608",
            "telephone_number": "773-735-5600",
            "fax_number": "773-735-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ROBYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036098215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080180995",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098215",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1632097",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.