Individual provider Active NPI

Maribe Fe Bangayan, MD

  • Pulmonary Disease Physician
  • Chicago, IL
National Provider Identifier
1982602629
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036100866 Issued in IL
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

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036100866MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100416000191 IL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2769519198 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

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 Hospital, Chicago, IL, CCN 140114
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036100866ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health & Hospitals Corp. CurrentSince Jan 1, 2013 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Feb 4, 2021 Accepting new patients
Erie Family Health Center Inc CurrentSince Sep 18, 2017 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Sep 1, 2013 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2013 Accepting new patients
Erie Family Health Center, Inc CurrentSince Sep 18, 2017 Accepting new patients
Swedish Covenant Management Services, Inc. CurrentSince Sep 1, 2013 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 4, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.