Individual provider Active NPI

Andrew James Aronson, M.D.

  • Pediatric Nephrology Physician
  • Chicago, IL
National Provider Identifier
1124053673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
Practice address
836 W Wellington Ave
Department of Pediatrics Suite 3612
Chicago, IL 60657-5147
Phone
(773) 296-5625
Fax
(413) 740-7966
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X IL Primary

Addresses

Primary practice location

836 W Wellington Ave
Department of Pediatrics Suite 3612
Chicago, IL 60657-5147

Mailing address

5000 S Cornell Ave
Suite 14a
Chicago, IL 60615-3041
Phone (773) 241-6789

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
I20050817000528 IL Practitioner - Pediatric MedicinePractitioner - Nephrology 2365472545 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-043372ILMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Family Medicine CurrentSince Mar 1, 2015 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jan 1, 2007 Accepting new patients
Cook County CurrentSince Mar 1, 2015 Accepting new patients
Cook County Current Accepting new patients
The Board of Trustees of the University of Illinois Pediatric Nephrology CurrentSince Jan 1, 2007 Accepting new patients
Southwest Nephrology Associates, S.C. Past Accepting new patients
Loyola University Physician Foundation Past Accepting new patients
Advocate North Side Health Network Past Accepting new patients

Locations

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

836 W Wellington Ave
Ste 3612
Chicago, IL 60657
Phone (773) 296-5625

1653 W Congress Pkwy
#622
Chicago, IL 60612
Phone (312) 942-5068

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1725 W Harrison St
Ste 710
Chicago, IL 60612
Phone (312) 942-5983

Organizations & group practices 9

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124053673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S CORNELL AVE",
            "address_2": "SUITE 14A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153041",
            "telephone_number": "773-241-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "address_2": "DEPARTMENT OF PEDIATRICS SUITE 3612",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-5625",
            "fax_number": "413-740-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARONSON",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.