Hans Jonnathan Henriquez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

125-065501 Issued in IL

Practice address

1841 W Army Trail Rd
Addison, IL 60101-1901

Phone

(630) 238-9235

Fax

(630) 566-4207

NPI assigned

Jun 18, 2014

Last updated

Jul 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Internal Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progressive Medical Center SCGroup PAC ID 5991778797, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
• Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: hans.henriquez.1@20980.direct.athenahealth.com
• Direct secure messaging: hans.henriquez@1039926871130116.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/20980/brand/1/csg/1/fhir/r4

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.

• Progressive Medical Center SC

  • Internal Medicine Physician
  • Addison, IL
  • NPI 1851464549
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
  • NPI 1265577191
  Care Compare affiliation
• Elmhurst Memorial Hospital

  dba Endeavor Health Elmhurst Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343
  Care Compare affiliation

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1053725994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 W ARMY TRAIL RD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011901",
            "telephone_number": "630-238-9235",
            "fax_number": "630-566-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "HANS",
        "middle_name": "JONNATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-065501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Hamid
• Haris Medical Group LLC
• Toseef Hasan, O.D.
• Amal M. Hassan, O.D.
• Healthy Connection Physical Medicine Addison
• Rolando Henriquez, M.D.
• Casey Elizabeth Henry, APN-CNP
• Sean Herbert, LCSW
• Jessica Hess, OTR/L
• Mike J Hickey, ATC,CSCS

• Internal Medicine Physician in Addison, IL
• Providers in Addison, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.