Individual provider Active NPI

Andrew P Russeau, MD

  • Vascular Surgery Physician
  • Chicago, IL
National Provider Identifier
1043637150
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036148446 Issued in IL
Practice address
331 W Surf St Ste 904
Chicago, IL 60657-7227
Phone
(337) 237-9610
Fax
(773) 549-0355
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036148446 IL
Vascular Surgery Physician 2086S0129X 036148446 IL Primary

Addresses

Primary practice location

331 W Surf St Ste 904
Chicago, IL 60657-7227

Mailing address

331 W Surf St Ste 904
Chicago, IL 60657-7227
Phone (773) 237-9610

Other practice location 1

700 Pasquinelli Dr
Westmont, IL 60559-1382
Phone (630) 323-8690

Other practice location 2

8630 S Pulaski Rd
Chicago, IL 60652-3633
Phone (773) 897-7700

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
I20210730001907 IL Practitioner - Vascular SurgeryPractitioner - General Surgery 4789989047 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Wright State University Boonshoft School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ankle N Foot Centers LLCGroup PAC ID 4183942709, 4 clinicians
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

2220 W Belmont Ave
Chicago, IL 60618-6421
Phone (773) 348-7500

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

2900 N Lake Shore Dr
Chicago, IL 60657-5640

2900 N Lake Shore Dr
FL 10
Chicago, IL 60657-6274
Phone (773) 665-3080

355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-4000

8630 S Pulaski Rd
Chicago, IL 60652-3633
Phone (773) 897-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.9 of 100Reported as group
Quality
72.65
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)20
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Mar 1, 2025 Accepting new patients
Presence Healthcare Services Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Feb 20, 2026 Accepting new patients
Presence Healthcare Services CurrentSince Mar 1, 2025 Accepting new patients
Ankle N Foot Centers LLC CurrentSince Oct 30, 2025 Accepting new patients
Ankle N Foot Centers LLC CurrentSince Oct 30, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Feb 20, 2026 Accepting new patients

Locations

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

2913 N Commonwealth Ave
Chicago, IL 60657
Phone (773) 665-3080

8630 S Pulaski Rd
Chicago, IL 60652
Phone (773) 284-9247

62311 Collection Ctr Dr
Chicago, IL 60693

29373 Network Pl
Chicago, IL 60673

836 W Wellington Ave
Ste 4800
Chicago, IL 60657
Phone (773) 296-5347

2913 N Commonwealth Ave
Fl 5
Chicago, IL 60657
Phone (773) 472-3427

331 W Surf St
Ste 904
Chicago, IL 60657
Phone (337) 237-9610

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

2220 W Belmont Ave
Chicago, IL 60618
Phone (773) 348-7500

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

800 Biesterfield Rd
Ste G01
Elk Grove Vlg, IL 60007

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

1710 W Court St
Kankakee, IL 60901
Phone (815) 936-3200

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25065/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1043637150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W SURF ST STE 904",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577227",
            "telephone_number": "773-237-9610",
            "fax_number": "773-549-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W SURF ST STE 904",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577227",
            "telephone_number": "337-237-9610",
            "fax_number": "773-549-0355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Pasquinelli Dr",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605591382",
            "country_code": "US",
            "telephone_number": "630-323-8690",
            "fax_number": "630-323-8657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8630 S Pulaski Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606523633",
            "country_code": "US",
            "telephone_number": "773-897-7700",
            "fax_number": "773-897-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSEAU",
        "first_name": "ANDREW",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036148446",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036148446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.