Individual provider Active NPI

Maria G Bayas, NP

  • Acute Care Nurse Practitioner
  • Evergreen Park, IL
National Provider Identifier
1972740660
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209-001111 Issued in IL
Practice address
2800 W 95TH St
Evergreen Park, IL 60805-2795
Phone
(708) 229-4714
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209-001111 IL Primary

Addresses

Primary practice location

2800 W 95TH St
Evergreen Park, IL 60805-2795

Mailing address

2800 W 95TH St
Evergreen Park, IL 60805-2795
Phone (708) 229-4714

Other practice location 1

1650 W Harrison St
CICU 10W-Tower
Chicago, IL 60612-3800
Phone (312) 947-1080

Other identifiers 1

IdentifierTypeStateIssuer
209-001111OtherILSTATE LISCENCE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050307000453 IL Practitioner - Nurse Practitioner 9638123227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 499-2070

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-001111ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Chicago Current Accepting new patients
The University of Chicago Medical Center CurrentSince Feb 1, 2017 Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 1, 2020 Accepting new patients
The University of Chicago Medical Center CurrentSince Feb 1, 2017 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

5660 W 95th St
Oak Lawn, IL 60453
Phone (708) 499-2273

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

Interoperability endpoints

  • Direct secure messaging: mbayas127816@uchospital.direct-ci.com

Organizations & group practices 5

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 1

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": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1972740660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052795",
            "telephone_number": "708-229-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052795",
            "telephone_number": "708-229-4714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W Harrison St",
            "address_2": "CICU 10W-Tower",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123800",
            "country_code": "US",
            "telephone_number": "312-947-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYAS",
        "first_name": "MARIA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209-001111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENCE",
            "identifier": "209-001111",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.