Evelyn S Ackermann, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036077512 Issued in IL

Practice address

1670 Capital Street
Suite 100
Elgin, IL 60124-7837

Phone

(847) 888-2020

Fax

(847) 888-0652

NPI assigned

Sep 29, 2005

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

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

Specialty

Ophthalmology

Education

University of Chicago, Pritzker School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Eye CenterGroup PAC ID 0749317402, 9 clinicians

Ophthalmology Associates, LTDGroup PAC ID 9133173438, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@ophthalmologyassociateselginil.compulinkdirect.com

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.

• Northwest Eye Center

  • Ophthalmology Physician
  • Barrington, IL
  • NPI 1093898967
  Medicare reassignment Care Compare group NPD
• Ophthalmology Associates LTD

  • Ophthalmology Physician
  • Elgin, IL
  • NPI 1558418525
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1053308676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 CAPITAL STREET",
            "address_2": "SUITE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601247837",
            "telephone_number": "847-888-2020",
            "fax_number": "847-888-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CAPITAL STREET",
            "address_2": "SUITE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601247837",
            "telephone_number": "847-888-2020",
            "fax_number": "847-888-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMANN",
        "first_name": "EVELYN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036077512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077512",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eackermann281999@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1670 Capital Street",
            "address_2": "Suite 100",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601247837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@OphthalmologyAssociatesElginIL.CompulinkDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1670 Capital Street",
            "address_2": "Suite 100",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601247837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1670 Capital Street",
            "address_2": "Suite 100",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601247837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James M Accetta
• Accurate Health Check Laboratories,Inc
• Eneida Marie Acevedo, RD, LDN
• Nelson Eduardo Acevedo
• Rachel Ackerman
• Leslie Acosta
• Acucare Total Health Corp.
• Belinda Adame, MA
• Alyssa Ann Adams, M.S OTR/L
• Eliza K Adams, MS

• Ophthalmology Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.