Individual provider Active NPI

Barbara A Emery-Stolzer, MD

  • Internal Medicine Physician
  • Naperville, IL
National Provider Identifier
1982698841
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036070993 Issued in IL
Practice address
1804 N Naper Blvd Ste 103
Naperville, IL 60563-8831
Phone
(630) 646-6200
Fax
(630) 428-4188
NPI assigned
Sep 7, 2005
Last updated
Feb 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036070993 IL Primary

Addresses

Primary practice location

1804 N Naper Blvd Ste 103
Naperville, IL 60563-8831

Mailing address

1804 N Naper Blvd
Ste 103
Naperville, IL 60563-8830
Phone (630) 646-6200

Other identifiers 1

IdentifierTypeStateIssuer
036070993MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bemerystolzer15425@direct.edward.org Direct

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
I20100604001045 IL Practitioner - Internal Medicine 1557337292 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Oct 7, 2011 Accepting new patients
Edward Health Ventures Internal Medicine CurrentSince Oct 7, 2011 Accepting new patients
Edward Health Ventures Internal Medicine Past Accepting new patients

Locations

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

3033 Ogden Ave
Ste 300
Lisle, IL 60532
Phone (630) 717-5700

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

1804 N Naper Blvd
Ste 103
Naperville, IL 60563
Phone (630) 646-6200

27555 Diehl Rd
Warrenville, IL 60555
Phone (630) 646-3950

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1982698841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 N NAPER BLVD",
            "address_2": "STE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638830",
            "telephone_number": "630-646-6200",
            "fax_number": "630-428-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 N NAPER BLVD STE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638831",
            "telephone_number": "630-646-6200",
            "fax_number": "630-428-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY-STOLZER",
        "first_name": "BARBARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036070993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070993",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bemerystolzer15425@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1804 N Naper Blvd Ste 103",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605638831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.