Individual provider Active NPI

Aisha Wright, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1184038002
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036143077 Issued in IL
Practice address
5425 W Lake St
Chicago, IL 60644-2342
Phone
(773) 378-3347
Fax
(773) 378-4028
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L4031R AL
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 036143077 IL Primary

Addresses

Primary practice location

5425 W Lake St
Chicago, IL 60644-2342

Mailing address

850 5TH Ave E
Tuscaloosa, AL 35401-7419
Phone (205) 348-1770

Other practice location 1

850 5th Ave E
Tuscaloosa, AL 35401-7419
Phone (205) 348-1770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aisha.wright@direct.ccprovider.org Direct Cook County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AL2 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
I20170815004635 IL Practitioner - Family Practice 2668794280 Reassigns benefits to 2 organizations
I20220429001862 AL Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 2668794280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Southern Illinois University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gadsden Regional Physician Group Practice LLCGroup PAC ID 1254497670, 31 clinicians
Womens Health Partners LLCGroup PAC ID 6608908488, 6 clinicians

Practice addresses (Care Compare)

1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4000

1026 Goodyear Ave
Suite 100
Gadsden, AL 35903-1194
Phone (256) 413-6240

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4031RALMDFamily Medicine Physician
036143077ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Current Accepting new patients
Womens Health Partners LLC CurrentSince Jul 6, 2022 Accepting new patients
PCC Community Wellness Center CurrentSince Jul 21, 2017 Accepting new patients
Cook County CurrentSince Feb 22, 2019 Accepting new patients
Cook County Family Medicine CurrentSince Feb 22, 2019 Accepting new patients
PCC Community Wellness Center CurrentSince Jul 21, 2017 Accepting new patients
Gadsden Regional Physician Group Practice LLC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Gadsden Regional Medical Center LLC Past Accepting new patients
Gadsden Regional Primary Care LLC Family Medicine Past Accepting new patients

Locations

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1026 Goodyear Ave
Ste 100
Gadsden, AL 35903
Phone (256) 413-6240

3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683

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

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

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

5425 W Lake St
Chicago, IL 60644
Phone (773) 378-3347

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

Interoperability endpoints

  • Direct secure messaging: aisha.wright.2@1831.direct.athenahealth.com
  • Direct secure messaging: aisha.wright.1@1831.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4
  • Direct secure messaging: aisha.wright@direct.ccprovider.org

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.

Hospital & facility affiliations 1

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1184038002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 5TH AVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017419",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606442342",
            "telephone_number": "773-378-3347",
            "fax_number": "773-378-4028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 5th Ave E",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354017419",
            "country_code": "US",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-5294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "AISHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L4031R",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036143077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aisha.wright@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.