Individual provider Active NPI

Timothy R High, NP

  • Gerontology Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1033893078
Registry record updated Jul 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209.026048 Issued in IL
Practice address
600 W Cermak Rd Ste 3D
Chicago, IL 60616-2268
Phone
(773) 972-2234
NPI assigned
Jun 12, 2023
Last updated
Jul 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209.026048 IL Primary

Addresses

Primary practice location

600 W Cermak Rd Ste 3D
Chicago, IL 60616-2268

Mailing address

600 W Cermak Rd Ste 3D
Chicago, IL 60616-2268
Phone (312) 883-8664

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710002300 IL Practitioner - Nurse Practitioner 9931097201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Hospice of Chicagoland LLCGroup PAC ID 0840210019, 19 clinicians

Practice addresses (Care Compare)

3232 S Martin Luther King Dr
Chicago, IL 60616-3924
Phone (312) 427-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Hospice of Chicagoland LLC CurrentSince May 15, 2023 Accepting new patients

Locations

600 W Cermak Rd
Ste 3D
Chicago, IL 60616
Phone (312) 427-6000

4101 Main St
Skokie, IL 60076
Phone (312) 847-2458

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1033893078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CERMAK RD STE 3D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162268",
            "telephone_number": "312-883-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CERMAK RD STE 3D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162268",
            "telephone_number": "773-972-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGH",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.026048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.