Active NPI
Joseph S Colla, M.D.
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 36114380
- Practice address
- 1740 W Taylor St
Chicago, IL 60612-7232 - Phone
- (312) 996-8177
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35086927 | OH | |
| Emergency Medicine Physician | 207P00000X | 36114380 | IL | Primary |
Addresses
Primary practice location
1740 W Taylor St
Chicago, IL 60612-7232
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
Other practice location 1
1 Medical Center Dr
Galena, IL 61036-8118
Phone (815) 777-1340
Other practice location 2
630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2270
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2621523 | Medicaid | OH | |
| 000000383354 | Other | OH | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | midwestmedical@midwestmedicalcenter.cernerdirect.com | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Galena, IL 61036-8118
Phone (815) 777-1340
1000 W Ohare Term 2 Airside
Uic Emergency Medicine
Chicago, IL 60666
Phone (773) 894-5100
1740 W Taylor St
Chicago, IL 60612-7232
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
- Midwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36114380 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Medical Center | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Midwest Medical Center | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Emergency Medicine | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Midwest Emergency Northern Illinois Inc | Emergency Medicine | Past | Accepting new patients |
| Advocate North Side Health Network | Past | Accepting new patients | |
| Hamilton Emergency Physicians Inc | Emergency Medicine | Past | Accepting new patients |
Locations
1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846
595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944
135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
75 Remittance Dr
Dept 6994
Chicago, IL 60675
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
29373 Network Pl
Chicago, IL 60673
75 Remittance Dr
Chicago, IL 60675
1301 E 47th St
Chicago, IL 60653
Phone (773) 493-8212
1 Medical Center Dr
Galena, IL 61036
Phone (815) 776-7381
4400 W 95th St
Ste 207
Oak Lawn, IL 60453
Phone (708) 346-5340
10811 W 143rd St
Ste 100
Orland Park, IL 60467
Phone (708) 460-2500
900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181
900 N 2nd St
Ste 200
Rochelle, IL 61068
Phone (815) 562-2181
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
Interoperability endpoints
- jcolla16959@uihealth.direct-ci.com
- midwestmedical@midwestmedicalcenter.cernerdirect.com
- https://fhir-myrecord.cerner.com/r4/caa256dd-47f1-49dc-8288-dfc601f2ffbb/
Organizations & group practices 11
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.
-
- Critical Access Hospital
- Galena, IL
- NPI 1952409765
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1891913992
-
- Rural Health Clinic/Center
- Elizabeth, IL
- NPI 1295286045
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Clinic/Center
- Chicago, IL
- NPI 1780788323
-
- Emergency Medicine Physician
- Ottawa, IL
- NPI 1427217504
-
- Emergency Medicine Physician
- Hamilton, OH
- NPI 1992705933
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Galena, IL
- NPI 1952409765
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1003865403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136",
"fax_number": "937-619-4231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127232",
"telephone_number": "312-996-8177"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Galena",
"state": "IL",
"postal_code": "610368118",
"country_code": "US",
"telephone_number": "815-777-1340",
"fax_number": "815-776-7274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "630 Eaton Ave",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "OH",
"postal_code": "450132767",
"country_code": "US",
"telephone_number": "513-867-2270",
"fax_number": "513-867-2581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLA",
"first_name": "JOSEPH",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35086927",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "36114380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2621523",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000383354",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "midwestmedical@midwestmedicalcenter.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Midwest Medical Center Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1 Medical Center Dr",
"city": "Galena",
"state": "IL",
"country_code": "US",
"postal_code": "610368118",
"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 3, 2024; 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.