Active NPI
Alberto De Miguel
- Medical Physician Assistant
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085009788
- Practice address
- 1725 W Harrison St Ste 1159
Chicago, IL 60612-3883 - Phone
- (312) 942-5020
- NPI assigned
- Jan 5, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | 085009788 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St Ste 1159
Chicago, IL 60612-3883
Mailing address
1725 W Harrison St Ste 1159
Chicago, IL 60612-3883
Phone (312) 942-5020
Other practice location 1
240 E Huron St
Chicago, IL 60611-2909
Phone (312) 503-1851
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Northwestern University Feinberg Medical School, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
1725 W Harrison St
Suite 1159
Chicago, IL 60612-3883
Phone (312) 942-5020
516 S Loomis St
Chicago, IL 60607-2812
Phone (312) 942-5000
Hospital & facility affiliations
- Rush University Medical Center
- Rush Oak Park Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients |
Locations
1411 S Michigan Ave
Chicago, IL 60605
Phone (312) 454-2700
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
516 S Loomis St
Chicago, IL 60607
Phone (717) 975-6402
1725 W Harrison St
Ste 1159
Chicago, IL 60612
Phone (312) 942-5020
75 Remittance Dr
Dept 1611
Chicago, IL 60675
2011 York Rd
Oak Brook, IL 60523
Phone (312) 942-6100
2011 York Rd
Ste 2000A
Oak Brook, IL 60523
Phone (312) 947-7546
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Internal Medicine Physician
- Oak Brook, IL
- NPI 1801375696
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1013678655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 1159",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123883",
"telephone_number": "312-942-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 1159",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123883",
"telephone_number": "312-942-5020"
}
],
"practiceLocations": [
{
"address_1": "240 E Huron St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112909",
"country_code": "US",
"telephone_number": "312-503-1851",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE MIGUEL",
"first_name": "ALBERTO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-05",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085009788",
"primary": true
}
],
"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 Aug 17, 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.