Individual provider Active NPI

Irma Teresa Ugalde, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Chicago, IL
National Provider Identifier
1043400211
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
036172392 Issued in IL
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(888) 824-0200
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140717000409 TX Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 9234210113 Reassigns benefits to 2 organizations
I20250117001564 IL Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 9234210113 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Nov 12, 2024 Accepting new patients
University of Chicago CurrentSince Nov 12, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Pediatric Emergency Medicine CurrentSince Feb 1, 2015 Accepting new patients
The University of Chicago Medical Center CurrentSince Nov 12, 2024 Accepting new patients
Ut Physicians CurrentSince Aug 1, 2014 Accepting new patients
Ut Physicians Pediatrics CurrentSince Aug 1, 2014 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

6431 Fannin St
#270
Houston, TX 77030
Phone (713) 500-7878

6431 Fannin St
#417
Houston, TX 77030
Phone (713) 500-7885

921 Gessner Rd
#H
Houston, TX 77024

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2555 Gulf Fwy S
#C1100
League City, TX 77573

2555 Gulf Fwy S
Ste C1100
League City, TX 77573
Phone (832) 932-9850

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

9250 Pinecroft Dr
#C
Shenandoah, TX 77380

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

Interoperability endpoints

  • Direct secure messaging: iugalde329198@uchospital.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 036172392 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2024.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1043400211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR STE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "888-824-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGALDE",
        "first_name": "IRMA",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "IL",
            "license": "036172392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.