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Dr. Glen S Babich , MD

General Practice β€’ Belleville, IL

Active NPI 1184617086 Individual Practitioner Male Practitioner
Practice location in NPPES

813 Stone Creek Ln
Belleville, IL 622232655

Call 6159730026 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

813 Stone Creek Ln

Belleville, IL 622232655

Telephone 6159730026
Fax 6182137168
Other Listings in Public Data

NPPES lists 1 additional practice-address record in East Saint Louis, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Belleville and Illinois

3 active clinicians are listed under General Practice with a practice address in Belleville, IL (291 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-06-25
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES MO MD2002010249

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES IL 036-114518

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES AZ 47521

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES AR E-6244

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES ID M-9700

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES IN 01077201A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES KS 04-37037

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES TN MD0000027058

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

950 N Kingshighway

East Saint Louis, IL 622031085

Phone: 2247249143

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 25, 2020

Registered at 813 STONE CREEK LN, BELLEVILLE, IL 622232655 (Tel: 6159730026)

πŸ“
Updated Business Mailing Address June 25, 2020

Registered at 813 STONE CREEK LN, BELLEVILLE, IL 622232655 (Tel: 6159730026)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2020

General Practice (license number reported to NPPES: AR E-6244)

βœ…
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 09, 2007

Registered at 300 E PEDRO SIMMONS DR, CHARLESTON, MO 638341347 (Tel: 5736834409)

πŸ“
Business Mailing Address (Initial Record) July 09, 2007

Registered at 941 E MALONE AVE, # 218, SIKESTON, MO 638013213 (Tel: 5737031365)

πŸ‘€
Provider Name / Credentials (Initial Record) July 09, 2007

Recorded as GLEN BABICH, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

General Practice (license number reported to NPPES: MO MD2002010249)

🟒
Initial NPI Registration & Enumeration August 25, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184617086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2005
Last Update: June 25, 2020
Sole Proprietor: Yes

Mailing Address

813 Stone Creek Ln

Belleville, IL 622232655

Phone: 6159730026

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.