Individual provider Active NPI

Ernest Anderson Hayes, M.D.

  • Obstetrics & Gynecology Physician
  • Hazel Crest, IL
National Provider Identifier
1083776678
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036043976 Issued in IL
Practice address
3330 W 177TH St Ste 3G
Hazel Crest, IL 60429-2199
Phone
(708) 333-3030
Fax
(708) 914-6020
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036043976 IL Primary

Addresses

Primary practice location

3330 W 177TH St Ste 3G
Hazel Crest, IL 60429-2199

Mailing address

8012 S Crandon Ave Ste 100
Chicago, IL 60617-1124
Phone (773) 356-5415

Other practice location 1

400 E Randolph St
Chicago, IL 60601-7329
Phone (312) 504-3848

Other practice location 2

8012 S Crandon Ave Ste 100
Chicago, IL 60617-1124
Phone (773) 356-5415

Other identifiers 2

IdentifierTypeStateIssuer
10639301OtherCAQH
036043976MedicaidIL

Other names 1

  • Dr. Ernest Anderson Hayes Professional name

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
I20070227000365 IL Practitioner - Obstetrics/Gynecology 2961504642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 E Randolph St
Apt 3730
Chicago, IL 60601-5065
Phone (708) 333-3030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036043976ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Christian Health Center CurrentSince Mar 1, 2020 Accepting new patients
Family Christian Health Center Obstetrics & Gynecology CurrentSince Mar 1, 2020 Accepting new patients
Chicago Metropolitan Obstetricians Gynecologists and Pediatricians Obstetrics & Gynecology Past Accepting new patients

Locations

31 W 155th St
Harvey, IL 60426
Phone (708) 596-5177

15620 Wood St
Harvey, IL 60426
Phone (708) 333-3030

19767 Torrence Ave
Lynwood, IL 60411
Phone 7085965177 ext. 8793

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHEHBA/Endpoint/HHEHBA

Organizations & group practices 4

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 1

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": "1721952000000",
    "number": "1083776678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 S CRANDON AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171124",
            "telephone_number": "773-356-5415",
            "fax_number": "773-768-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST STE 3G",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292199",
            "telephone_number": "708-333-3030",
            "fax_number": "708-914-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Randolph St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017329",
            "country_code": "US",
            "telephone_number": "312-504-3848",
            "fax_number": "312-565-2267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8012 S Crandon Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606171124",
            "country_code": "US",
            "telephone_number": "773-356-5415",
            "fax_number": "773-768-6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "ERNEST",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036043976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10639301",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036043976",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERNEST",
            "last_name": "HAYES",
            "middle_name": "ANDERSON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hazel Crest, IL

Sources for this page

Verify at the official NPI Registry.