Active NPI
Maribe Fe Bangayan, MD
- Pulmonary Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036100866
- Practice address
- 4640 N Marine Dr
Chicago, IL 60640-5719 - Phone
- (773) 564-5577
- Fax
- (773) 564-5578
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036100866 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036100866 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036100866 | IL | Primary |
Addresses
Primary practice location
4640 N Marine Dr
Chicago, IL 60640-5719
Mailing address
5140 N. California Ave.
Suite 740-GMP
Chicago, IL 60625
Phone (773) 989-3957
Other practice location 1
5140 N. California Ave.
Suite 740-GMP
Chicago, IL 60625
Phone (773) 989-3957
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036100866 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbangayan277082@direct.northshore.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Northeastern Ohio University College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
2739 W Foster Ave
Chicago, IL 60625-3661
Phone (773) 878-8200
5140 N California
Suite G600
Chicago, IL 60625-3645
Phone (773) 989-3803
5140 N California Ave
Chicago, IL 60625-3645
5140 N California Ave
Suite 545
Chicago, IL 60625-3660
Phone (773) 907-3038
5145 N California
Hosps Suite 331
Chicago, IL 60625-3661
Phone (847) 570-2280
5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 878-8200
Hospital & facility affiliations
- Swedish Hospital
- Northshore University Healthsystem - Evanston Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036100866 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health & Hospitals Corp. | Current | Accepting new patients | |
| Endeavor Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Erie Family Health Center, Inc | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Respiratory Medicine Assoicates, S.C. | Past | Accepting new patients | |
| Advocate Health Centers, Inc. | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
5140 N California Ave
Ste 715
Chicago, IL 60625
Phone (773) 561-1554
1504 S Albany Ave
Chicago, IL 60623
5140 N California Ave
Chicago, IL 60625
Phone (773) 275-8811
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381
5215 N California Ave
Ste F700
Chicago, IL 60625
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
4646 N Marine Dr
Ste A5700
Chicago, IL 60640
Phone (773) 564-5577
2740 W Foster Ave
Ste 412
Chicago, IL 60625
Phone (773) 293-4362
5140 N California Ave
Ste 740GMP
Chicago, IL 60625
Phone (773) 989-3957
29373 Network Pl
Chicago, IL 60673
1945 W Wilson Ave
Fl 4
Chicago, IL 60640
Phone (773) 736-6220
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
Interoperability endpoints
- mbangayan277082@direct.northshore.org
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1760499545
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
Internal Medicine
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1548062318
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1699126383
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1639111933
-
- Specialist
- Chicago, IL
- NPI 1023046026
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1982602629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 N. CALIFORNIA AVE.",
"address_2": "SUITE 740-GMP",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60625",
"telephone_number": "773-989-3957",
"fax_number": "773-989-3971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4640 N MARINE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405719",
"telephone_number": "773-564-5577",
"fax_number": "773-564-5578"
}
],
"practiceLocations": [
{
"address_1": "5140 N. California Ave.",
"address_2": "Suite 740-GMP",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60625",
"country_code": "US",
"telephone_number": "773-989-3957",
"fax_number": "773-989-3971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANGAYAN",
"first_name": "MARIBE",
"middle_name": "FE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2021-04-30",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036100866",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036100866",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036100866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036100866",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbangayan277082@direct.northshore.org",
"affiliation": "N",
"address_1": "5145 N California Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606253661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.