Active NPI
Nicholas Marcel De la Rua, MD
- Pulmonary Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036.159353
- Practice address
- 7447 W Talcott Ave Ste 542
Chicago, IL 60631-3716 - Phone
- (773) 631-2180
- Fax
- (773) 631-5947
- NPI assigned
- Jun 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036.159353 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 125.075168 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036.159353 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036159353 | IL |
Addresses
Primary practice location
7447 W Talcott Ave Ste 542
Chicago, IL 60631-3716
Mailing address
7447 W Talcott Ave Ste 542
Chicago, IL 60631-3716
Phone (773) 631-2180
Other practice location 1
5841 S Maryland Ave Ste Mc6076
Chicago, IL 60637-1626
Phone (773) 702-9660
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Louisiana State University School of Medicine in New Orleans, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7447 W Talcott Ave
Suite 542
Chicago, IL 60631-3716
Phone (773) 631-2180
Hospital & facility affiliations
- Amita Health Resurrection Medical Center
- Advocate Lutheran General Hospital
- Saint Francis Hospital-Evanston
- Holy Family Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.075168 | IL | MD | Internal Medicine Physician |
| 036.159353 | IL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Pulmonary Associates, S.C. | Pulmonary Disease | Current | Accepting new patients |
| Cardiothoracic & Vascular Surgical Associates S C | Past | Accepting new patients |
Locations
7447 W Talcott Ave
Chicago, IL 60631
Phone (773) 631-6082
7447 W Talcott Ave
Ste 542
Chicago, IL 60631
Phone (773) 631-2180
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Chicago, IL
- NPI 1255414926
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oak Lawn, IL
- NPI 1780679407
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- Long Term Care Hospital
- Des Plaines, IL
- NPI 1205674611
Long-term care hospital
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1063074094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE STE 542",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313716",
"telephone_number": "773-631-2180",
"fax_number": "773-631-5947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE STE 542",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313716",
"telephone_number": "773-631-2180",
"fax_number": "773-631-5947"
}
],
"practiceLocations": [
{
"address_1": "5841 S Maryland Ave Ste Mc6076",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371626",
"country_code": "US",
"telephone_number": "773-702-9660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA RUA",
"first_name": "NICHOLAS",
"middle_name": "MARCEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-29",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036.159353",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.075168",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036.159353",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036159353",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.