Individual provider Active NPI

David P Ondrula, MD

  • Surgery Physician
  • Barrington, IL
National Provider Identifier
1013950690
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036-082895 Issued in IL
Practice address
802 Fox GLN
Barrington, IL 60010-1860
Phone
(847) 381-8161
Fax
(847) 381-8167
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 036-082895 IL
Surgery Physician 208600000X 036-082895 IL Primary

Addresses

Primary practice location

802 Fox GLN
Barrington, IL 60010-1860

Mailing address

802 Fox GLN
Barrington, IL 60010-1860
Phone (847) 381-8161

Other identifiers 1

IdentifierTypeStateIssuer
BC BSOtherIL04929950

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address dondrula237881@direct.myadvocateaurora.org 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609000340 IL Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 6709869035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Surgical Care of Northern Illinois, LTDGroup PAC ID 0547298374, 9 clinicians

Practice addresses (Care Compare)

802 Fox Glen CT
Barrington, IL 60010-1860
Phone (847) 381-8161

Hospital & facility affiliations

  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy60
Hernia repair - groin (open)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-082895ILMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgical Care of Northern Illinois, LTD Surgery CurrentSince Jan 1, 2001 Accepting new patients

Locations

802 Fox Gln
Barrington, IL 60010
Phone (847) 350-9564

650 Dakota St
Ste B
Crystal Lake, IL 60012
Phone (815) 788-8680

1585 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 381-8161

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1013950690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 FOX GLN",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101860",
            "telephone_number": "847-381-8161",
            "fax_number": "847-381-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 FOX GLN",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101860",
            "telephone_number": "847-381-8161",
            "fax_number": "847-381-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDRULA",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IL",
            "license": "036-082895",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-082895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "04929950",
            "identifier": "BC BS",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "802 Fox Gln",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dondrula237881@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "802 Fox Gln",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.