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CENTER STREET MEDICAL
NPI 1114119245
Clinic/Center - Primary Care in Elmhurst, IL

Active since August 13, 2007CLIA 14D0706197 · Waiver
103 N HAVEN RD FL 2, ELMHURST, IL 60126(630) 595-9988(331) 225-2296 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Center Street Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER STREET MEDICAL (NPI 1114119245) is a healthcare organization registered as a primary care in Elmhurst, Illinois and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Margaret Hornstra, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114119245
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePAUL M. BAUBLY, M.D. S. C.
Location Address103 N HAVEN RD FL 2Elmhurst, IL 60126-2973
Mailing Address103 N Haven Rd Fl 2Elmhurst, IL 60126-2973 · (630) 595-9988 · Fax (313) 225-2296
Phone(630) 595-9988
Fax(331) 225-2296
Organization SubpartNo
Authorized OfficialMargaret HornstraOffice Manager · (630) 595-9988
Enumeration DateAugust 13, 2007
Last NPPES UpdateSeptember 24, 2018
✔ NPI 1114119245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 036082085
103 N HAVEN RD FL 2, Elmhurst, IL 60126
Open in Google Maps ↗

Other Names 1

Doing Business AsCenter Street Medical

Other Identifiers 1

Medicaid036082085IL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center Street Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Center Street Medical, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kathryn Baubly
Internal Medicine
NPI 1295129310
103 N HAVEN RD FL 2
Elmhurst, IL 60126
(630) 595-9988
✔ PECOS✔ Accepts MedicareSame address
Paul Baubly, MD
Internal Medicine
NPI 1174681530
103 N HAVEN RD
Elmhurst, IL 60126
(630) 595-9988
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0706197

Center Street Medical S C · Elmhurst, IL
Active · expires Aug 31, 2028
CLIA Number14D0706197
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorPaul M. Baubly MD
Laboratory Phone(630) 595-9988
Laboratory LocationCenter Street Medical S C103 Haven Rd, Ste 2, Elmhurst, IL 60126
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul M. Baubly, M.D. S. C.'s NPI number?

The NPI number for Paul M. Baubly, M.D. S. C. is 1114119245. It was assigned to this organization in the NPPES registry on August 13, 2007. The provider is doing business as Center Street Medical.

Where is Paul M. Baubly, M.D. S. C. located?

Paul M. Baubly, M.D. S. C. is located at 103 N Haven Rd Fl 2, Elmhurst, IL 60126. The listed phone number is (630) 595-9988.

What is Paul M. Baubly, M.D. S. C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Paul M. Baubly, M.D. S. C. enrolled in Medicare?

Yes. Paul M. Baubly, M.D. S. C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paul M. Baubly, M.D. S. C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Paul M. Baubly, M.D. S. C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Paul M. Baubly, M.D. S. C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0706197) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paul M. Baubly, M.D. S. C. was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.