Individual provider Active NPI

Richard Edward Powell, M.D.

  • Pediatrics Physician
  • Algonquin, IL
National Provider Identifier
1043277148
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036092870 Issued in IL
Practice address
Salud Pediatrics
600 S. Randall Road Ste 220
Algonquin, IL 60102
Phone
(847) 854-9402
Fax
(847) 854-9403
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036092870 IL Primary

Addresses

Primary practice location

Salud Pediatrics
600 S. Randall Road Ste 220
Algonquin, IL 60102

Mailing address

1201 S Prairie Ave Apt 4604
Chicago, IL 60605-3553
Phone (312) 203-0708

Other identifiers 1

IdentifierTypeStateIssuer
036092870MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St James Hospital and Health Center Past Accepting new patients
Salud Pediatrics SC Pediatrics Past Accepting new patients
Wee Care Pediatrics Pediatrics Past Accepting new patients
Dignity Health Past Accepting new patients
Mount Sinai Hospital Medical Center Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043277148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S PRAIRIE AVE APT 4604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053553",
            "telephone_number": "312-203-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SALUD PEDIATRICS",
            "address_2": "600 S. RANDALL ROAD STE 220",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "60102",
            "telephone_number": "847-854-9402",
            "fax_number": "847-854-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036092870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092870",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.