Individual provider Active NPI

Andrew Jesse Engel, MD

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
National Provider Identifier
1083776223
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
360120188 Issued in IL
Practice address
5327 N Sheridan Rd Unit B
Chicago, IL 60640-6933
Phone
(773) 944-0365
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 360120188 IL Primary

Addresses

Primary practice location

5327 N Sheridan Rd Unit B
Chicago, IL 60640-6933

Mailing address

5600 N Sheridan Road
Chicago, IL 60660
Phone (612) 325-6576

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
I20080722000642 IL Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Interventional Pain Management 8921184466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
JS Weill Medical College, Cornell University, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5327 N Sheridan Rd
Unit B
Chicago, IL 60640-6933
Phone (773) 944-0365

Hospital & facility affiliations

  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224
  • Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115

Merit-based Incentive Payment System (MIPS)

Final score
76.45 of 100Reported as individual
Quality
43.33
Improvement activities
40
Cost
71.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
360120188ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ebm Consulting LLC Pain Medicine CurrentSince Jun 1, 2015 Accepting new patients
Western Pain and Headache Center, Inc. Pain Medicine Past Accepting new patients
Edgewater Beach Foot and Ankle Center, P.C. PastSince Jun 1, 2015 Accepting new patients

Locations

5327 N Sheridan Rd
Unit B
Chicago, IL 60640
Phone (773) 561-6262

Organizations & group practices 3

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 5

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1083776223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 N SHERIDAN ROAD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60660",
            "telephone_number": "612-325-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 N SHERIDAN RD UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406933",
            "telephone_number": "773-944-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "ANDREW",
        "middle_name": "JESSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "360120188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.