Individual provider Active NPI

Alexandra Andes

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1104455831
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036162751 Issued in IL
Practice address
30 N Michigan Ave Ste 300
Chicago, IL 60602-4495
Phone
(312) 726-3917
NPI assigned
Apr 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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 036162751 IL Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 300
Chicago, IL 60602-4495

Mailing address

600 Highland Ave
Madison, WI 53792-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241002000620 IL Practitioner - Obstetrics/Gynecology 8022431014 Reassigns benefits to 1 organization
I20260129003135 CA Practitioner - Obstetrics/Gynecology 8022431014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Center for Women'S Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

30 N Michigan Ave
Suite 300
Chicago, IL 60602-4495
Phone (312) 726-3917

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Dec 9, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 9, 2025 Accepting new patients
Midwest Center for Women'S Health Care, LTD. Obstetrics & Gynecology CurrentSince Sep 1, 2024 Accepting new patients

Locations

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

30 N Michigan Ave
Ste 300
Chicago, IL 60602
Phone (312) 558-6481

40 Skokie Blvd
Ste 300
Northbrook, IL 60062
Phone (847) 498-0690

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

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.

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1104455831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024495",
            "telephone_number": "312-726-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDES",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036162751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.