NPIMap

Individual provider Active NPI

Elizabeth A Schupp, MD, FCCP

  • Specialist
  • South Barrington, IL
National Provider Identifier
1972558567
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036078246 Issued in IL
Practice address
4 Executive CT
Suite 3
South Barrington, IL 60010
Phone
(815) 477-7350
Fax
(815) 477-7351
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036078246 IL Primary

Addresses

Primary practice location

4 Executive CT
Suite 3
South Barrington, IL 60010

Mailing address

360 Station Drive
Suite 230
Crystal Lake, IL 60014
Phone (815) 477-7350

Other identifiers 6

IdentifierTypeStateIssuer
127402OtherILHEALTH ALLIANCE
3932056OtherILBCBS
770669OtherILHEALTHLINK
304906OtherILGHP
036078246MedicaidIL
7210895OtherILAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050627000382 IL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7618912007 Reassigns benefits to 1 organization
I20140521000222 IA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7618912007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Kansas School of Med (KC/Wich/Sal), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical CenterGroup PAC ID 2264337518, shared by 4 NPIs, 97 clinicians

Practice addresses (Care Compare)

2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5000

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036078246ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Unity Healthcare CurrentSince Oct 22, 2020 Accepting new patients
Trinity Medical Center Current Accepting new patients
Unity Healthcare CurrentSince Oct 22, 2020 Accepting new patients
Trinity Medical Center CurrentSince Oct 28, 2013 Accepting new patients
Comprehensive Urologic Care S C PastSince Apr 1, 2010 Accepting new patients
Favia Primary Care, SC PastSince Sep 1, 2018 Accepting new patients
Global Care S.C. PastSince Sep 14, 2025 Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Interoperability endpoints

  • Direct secure messaging: eschupp156054@direct.unitypoint.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECGEBD

Organizations & group practices 9

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 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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1972558567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STATION DRIVE",
            "address_2": "SUITE 230",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-477-7350",
            "fax_number": "815-477-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EXECUTIVE CT",
            "address_2": "SUITE 3",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "815-477-7350",
            "fax_number": "815-477-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUPP",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MD, FCCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036078246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "127402",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3932056",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "770669",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "304906",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078246",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7210895",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

Verify at the official NPI Registry.