Individual provider Active NPI

Nidhi Tiwari, M.D.

  • Internal Medicine Physician
  • Aurora, IL
National Provider Identifier
1053415067
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-107793 Issued in IL
Practice address
2020 Ogden Ave Ste 400
Aurora, IL 60504-5898
Phone
(630) 692-5563
Fax
(630) 692-5564
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-107793 IL Primary

Addresses

Primary practice location

2020 Ogden Ave Ste 400
Aurora, IL 60504-5898

Mailing address

2020 Ogden Ave Ste 400
Aurora, IL 60504-5898
Phone (630) 692-5563

Other identifiers 1

IdentifierTypeStateIssuer
036107793MedicaidIL

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
I20040914000085 IL Practitioner - Internal Medicine 1456328046 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2020 Ogden Ave
Aurora, IL 60504-5894
Phone (630) 692-5060

472 N Sugar Grove Pkwy
Rush Copley Medical Group
Sugar Grove, IL 60554-8107
Phone (630) 466-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-107793ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Rush-Copley Medical Group CurrentSince Sep 6, 2015 Accepting new patients
Neurospinal Center Past Accepting new patients
Rush Copley Medical Group Past Accepting new patients
Multispecialty Medical Center LTD Past Accepting new patients

Locations

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

2020 Ogden Ave
Ste 400
Aurora, IL 60504
Phone (630) 375-2925

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2040 Ogden Ave
Ste 304
Aurora, IL 60504
Phone (630) 236-4270

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

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 4

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1053415067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE STE 400",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045898",
            "telephone_number": "630-692-5563",
            "fax_number": "630-692-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE STE 400",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045898",
            "telephone_number": "630-692-5563",
            "fax_number": "630-692-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIWARI",
        "first_name": "NIDHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-107793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107793",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.