Individual provider Active NPI

Andrew Kowalski, M.D.

  • Nephrology Physician
  • Addison, IL
National Provider Identifier
1114293123
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036137310 Issued in IL
Practice address
2055 W Army Trail Rd Ste 110E
Addison, IL 60101-1478
Phone
(773) 284-9247
Fax
(773) 284-9249
NPI assigned
Mar 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036137310 IL Primary

Addresses

Primary practice location

2055 W Army Trail Rd Ste 110E
Addison, IL 60101-1478

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000

Other practice location 1

1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273

Other practice location 2

660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600

Other practice location 3

6948 W Windsor Ave
Berwyn, IL 60402-3335
Phone (708) 749-4617

Other practice location 4

6948 W Windsor Ave
Berwyn, IL 60402-3335
Phone (708) 749-4617

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20150812008710 IL Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Hospitalist 1850606351 Reassigns benefits to 3 organizations
I20230413003015 IN Practitioner - Nephrology 1850606351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Northern Illinois LTD 117 clinicians

Practice addresses (Care Compare)

6948 W Windsor Ave
Berwyn, IL 60402-3335
Phone (708) 749-4617

800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

Hospital & facility affiliations

  • FMC - Midway Dialysis Dialysis facility, Chicago, IL, CCN 142713
  • Macneal Hospital Hospital, Berwyn, IL, CCN 140054
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Springs Surgery Center, LLC CurrentSince Mar 1, 2020 Accepting new patients
Nani Vascular North ASC LLC Nephrology CurrentSince Jun 1, 2025 Accepting new patients
Fort Wayne Vascular Care LLC Nephrology CurrentSince Aug 1, 2023 Accepting new patients
Nephrology Associates of Northern Indiana, Inc Nephrology CurrentSince Aug 1, 2023 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology CurrentSince Jul 15, 2018 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology Past Accepting new patients

Locations

2055 W Army Trail Rd
Ste 110N
Addison, IL 60101
Phone (773) 284-9247

2055 W Army Trail Rd
Ste 110E
Addison, IL 60101
Phone (773) 284-9247

6827 Stanley Ave
Berwyn, IL 60402
Phone (708) 749-4617

6948 W Windsor Ave
Berwyn, IL 60402
Phone (708) 393-7533

3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

9050 W 81st St
Oak Lawn, IL 60458
Phone (708) 563-0330

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

7425 Janes Ave
Ste 101
Woodridge, IL 60517
Phone (630) 495-9356

1833 Magnavox Way
#100
Fort Wayne, IN 46804
Phone (260) 918-0997

569 Tyler St
Gary, IN 46402
Phone (260) 885-3300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: akowalski42368@direct.acumenmd.com

Organizations & group practices 6

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 3

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": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1114293123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000",
            "fax_number": "630-491-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W ARMY TRAIL RD STE 110E",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011478",
            "telephone_number": "773-284-9247",
            "fax_number": "773-284-9249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 N Westmoreland Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451659",
            "country_code": "US",
            "telephone_number": "847-234-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6948 W Windsor Ave",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023335",
            "country_code": "US",
            "telephone_number": "708-749-4617",
            "fax_number": "708-492-4077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6948 W Windsor Ave",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023335",
            "country_code": "US",
            "telephone_number": "708-749-4617",
            "fax_number": "708-749-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-25",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036137310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.