Active NPI
Joseph Alden Herrold, MD, MPH
- Trauma Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 036165385
- Practice address
- 259 E Erie St Ste 1600
Chicago, IL 60611-3111 - Phone
- (312) 695-8918
- Fax
- (312) 695-3644
- NPI assigned
- Oct 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0087342 | MD | |
| Surgical Critical Care Physician | 2086S0102X | D0087342 | MD | |
| Trauma Surgery Physician | 2086S0127X | D0087342 | MD | |
| Trauma Surgery Physician | 2086S0127X | 036165385 | IL | Primary |
| Surgery Physician | 208600000X | A131063 | CA |
Addresses
Primary practice location
259 E Erie St Ste 1600
Chicago, IL 60611-3111
Mailing address
676 N Saint Clair St Ste 650
Chicago, IL 60611-2929
Phone (312) 695-4835
Other practice location 1
22 S Greene St Rm S4D03
Baltimore, MD 21201-1544
Phone (410) 328-9878
Other practice location 2
1520 San Pablo St
HCT 4300
Los Angeles, CA 90033-5310
Phone (323) 442-9064
Other practice location 3
676 N Saint Clair St Ste 650
Chicago, IL 60611-2929
Phone (312) 695-4835
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
- General Surgery
- Education
- University of Southern California Keck School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
259 E Erie St
Suite 1600
Chicago, IL 60611-3111
Phone (312) 926-5620
Hospital & facility affiliations
- Northwestern Memorial Hospital
- Northwestern Lake Forest Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A131063 | CA | MD | Surgery Physician |
| D0087342 | MD | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
676 N Saint Clair St
Ste 650
Chicago, IL 60611
Phone (312) 695-3800
259 E Erie St
Ste 1600
Chicago, IL 60611
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1013311067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST STE 650",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112929",
"telephone_number": "312-695-4835",
"fax_number": "312-695-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 E ERIE ST STE 1600",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113111",
"telephone_number": "312-695-8918",
"fax_number": "312-695-3644"
}
],
"practiceLocations": [
{
"address_1": "22 S Greene St Rm S4D03",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011544",
"country_code": "US",
"telephone_number": "410-328-9878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1520 San Pablo St",
"address_2": "HCT 4300",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900335310",
"country_code": "US",
"telephone_number": "323-442-9064",
"fax_number": "323-442-6887",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "676 N Saint Clair St Ste 650",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112929",
"country_code": "US",
"telephone_number": "312-695-4835",
"fax_number": "312-695-3644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERROLD",
"first_name": "JOSEPH",
"middle_name": "ALDEN",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-20",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0087342",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MD",
"license": "D0087342",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MD",
"license": "D0087342",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IL",
"license": "036165385",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A131063",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 22, 2023; 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.