Active NPI
Brett Barrett, D.O.
- Pediatric Endocrinology Physician
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- MT210713
- Practice address
- 9555 S 52ND Ave
Oak Lawn, IL 60453-3054 - Phone
- (708) 684-5437
- NPI assigned
- Jun 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | MT210713 | PA | Primary |
Addresses
Primary practice location
9555 S 52ND Ave
Oak Lawn, IL 60453-3054
Mailing address
9555 S 52ND Ave
Oak Lawn, IL 60453-3054
Phone (812) 595-2124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125063479 | Other | IL | MEDICAL LICENSE, TEMPORARY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbarrett229504@direct.myadvocateaurora.org | Direct | |
| FHIR URL | httpss://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT210713 | PA | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
1945 W Wilson Ave
Fl 4
Chicago, IL 60640
Phone (773) 736-6220
29373 Network Pl
Chicago, IL 60673
9555 S 52nd Ave
Oak Lawn, IL 60453
Phone (708) 422-5700
16750 80th Ave
Ste E
Tinley Park, IL 60477
Phone (708) 575-4410
Interoperability endpoints
- bbarrett229504@direct.myadvocateaurora.org
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1124465877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9555 S 52ND AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533054",
"telephone_number": "812-595-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 S 52ND AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533054",
"telephone_number": "708-684-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "BRETT",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-03",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "PA",
"license": "MT210713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE, TEMPORARY",
"identifier": "125063479",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bbarrett229504@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9555 S 52nd Ave",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604533054",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "httpss://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "9555 S 52nd Ave",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604533054",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.