Active NPI
Richard Edward Powell, M.D.
- Pediatrics Physician
- Algonquin, IL
National Provider Identifier
1043277148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036092870
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092870 | Medicaid | IL |
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
| Organization | Specialty | Status | New 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.
-
- Home Health Agency
- Chicago, IL
- NPI 1659429900
-
- Pediatrics Physician
- Algonquin, IL
- NPI 1801811757
-
- Psychiatric Hospital
- Olympia Fields, IL
- NPI 1679590160
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1518181841
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.