Alfred Cisneros, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-061744 Issued in IL

Practice address

4777 N Harlem Ave
Harwood Heights, IL 60706-4658

Phone

(708) 867-4020

Fax

(708) 867-5306

NPI assigned

Aug 22, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northcare Home Health Services Home health agency, Niles, IL, CCN 148021
• Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maxicare Home Health Services, Inc.

  dba Northcare Home Health Services

  • Home Health Agency
  • Chicago, IL
  • NPI 1194883280
  Care Compare affiliation
• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228
  Care Compare affiliation

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144336173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 N HARLEM AVE",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "607064658",
            "telephone_number": "708-867-4020",
            "fax_number": "708-867-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 N HARLEM AVE",
            "city": "HARWOOD HEIGHTS",
            "state": "IL",
            "postal_code": "607064658",
            "telephone_number": "708-867-4020",
            "fax_number": "708-867-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "ALFRED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-061744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "3160120373",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beata Barbara Binski
• Monika Cachro, PA-C
• Cardinal Homehealth Inc (Astra Health)
• Michael Albert Cascio, DDS
• Virginia Castillo, LCPC
• Tara Anne Culligan, D.D.S.
• Barbara Stella Czarnik
• Dental Implant & Cosmetic Center, Inc
• Mia Beth Deroin, D.O.
• Melissa Sara Drab, DDS

• Family Medicine Physician in Harwood Heights, IL
• Providers in Harwood Heights, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.