Individual provider Active NPI

Jasmine Anais Munoz

  • Obstetrics & Gynecology Physician
  • Elk Grove Village, IL
National Provider Identifier
1942543665
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036140634 Issued in IL
Practice address
800 Biesterfield Rd Ste 2010
Elk Grove Village, IL 60007-3364
Phone
(847) 981-6500
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036140634 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd Ste 2010
Elk Grove Village, IL 60007-3364

Mailing address

800 Biesterfield Rd Ste 2010
Elk Grove Village, IL 60007-3364
Phone (847) 981-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jasmine.munoz.1@380.direct.athenahealth.com

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
I20171115002690 IL Practitioner - Obstetrics/Gynecology 0547564445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

1 N Broadway St
The Genesis Center
Des Plaines, IL 60016-2335
Phone (847) 298-3150

1555 Barrington Rd
BLDG 1
Hoffman Estates, IL 60169-1020
Phone (847) 490-4222

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

7450 W 63Rd St
Des Plaines Valley Family Health Center
Summit, IL 60501-1816
Phone (708) 458-0757

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bonaventure Medical Foundation, LLC CurrentSince Apr 1, 2022 Accepting new patients
Access Community Health Network CurrentSince Sep 25, 2017 Accepting new patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Sep 25, 2017 Accepting new patients

Locations

800 Biesterfield Rd
Ste 2010
Elk Grove Village, IL 60007
Phone (847) 640-1411

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412

Interoperability endpoints

  • Direct secure messaging: jmunoz11202@direct.achn.net
  • Direct secure messaging: jasmine.munoz.2@380.direct.athenahealth.com
  • Direct secure messaging: jasmine.munoz.1@380.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1942543665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 2010",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073364",
            "telephone_number": "847-981-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 2010",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073364",
            "telephone_number": "847-981-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "JASMINE",
        "middle_name": "ANAIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036140634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jasmine.munoz.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "800 Biesterfield Rd Ste 2010",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.