Active NPI
Bari Alexis Parks-Ballard, M.D.
- Obstetrics & Gynecology Physician
- Harvey, IL
National Provider Identifier
1972545358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036.085147
- Practice address
- 31 W 155TH St
Harvey, IL 60426-3556 - Phone
- (708) 596-5177
- Fax
- (708) 339-3583
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036.085147 | IL | Primary |
Addresses
Primary practice location
31 W 155TH St
Harvey, IL 60426-3556
Mailing address
31 W 155TH St
Harvey, IL 60426-3556
Phone (708) 596-5177
Other practice location 1
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 679-2160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203979 | Other | IL | MEDICARE PTAN |
| 036085147 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bparksballard191084@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.085147 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Physicians Network Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| McGuire Medical SC | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- bparksballard191084@direct.franciscanalliance.org
- bparksballard225730@uchospital.direct-ci.com
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1588618094
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1851337729
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1972545358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 W 155TH ST",
"city": "HARVEY",
"state": "IL",
"postal_code": "604263556",
"telephone_number": "708-596-5177",
"fax_number": "708-339-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 W 155TH ST",
"city": "HARVEY",
"state": "IL",
"postal_code": "604263556",
"telephone_number": "708-596-5177",
"fax_number": "708-339-3583"
}
],
"practiceLocations": [
{
"address_1": "20201 Crawford Ave",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "604611010",
"country_code": "US",
"telephone_number": "708-679-2160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKS-BALLARD",
"first_name": "BARI",
"middle_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036.085147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "203979",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036085147",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bparksballard191084@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "20201 Crawford Ave",
"city": "Olympia Fields",
"state": "IL",
"country_code": "US",
"postal_code": "604611010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harvey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.