Individual provider Active NPI

Andrew Michael Dahlem Jr., M. D.

  • Family Medicine Physician
  • Skokie, IL
National Provider Identifier
1205178381
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036138940 Issued in IL
Practice address
4999 Old Orchard Shopping Center
N10 & N7
Skokie, IL 60077
Phone
(405) 658-6791
NPI assigned
Mar 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036138940 IL Primary

Addresses

Primary practice location

4999 Old Orchard Shopping Center
N10 & N7
Skokie, IL 60077

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (405) 658-6791

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address adahlem250848@direct.myadvocateaurora.org
FHIR URL https://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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160328002049 IL Practitioner - Family Practice 6800191339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

4999 Old Orchard Shopping Ctr
Suite F12
Skokie, IL 60077
Phone (312) 219-2230

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Mill Medical Associates SC CurrentSince May 18, 2016 Accepting new patients
One Medical Group, Inc. Family Medicine CurrentSince Aug 10, 2024 Accepting new patients
One Medical Group, Inc Family Medicine CurrentSince Aug 10, 2024 Accepting new patients
Rush Oak Park Physicians Group Lake Street Family Medicine Past Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

730 Waukegan Rd
Deerfield, IL 60015

7900 N Milwaukee Ave
Ste 18
Niles, IL 60714
Phone (847) 581-1160

Interoperability endpoints

  • Direct secure messaging: adahlem250848@direct.myadvocateaurora.org

Organizations & group practices 4

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 2

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1205178381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "405-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 OLD ORCHARD SHOPPING CENTER",
            "address_2": "N10 & N7",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60077",
            "telephone_number": "405-658-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLEM",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036138940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adahlem250848@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "7900 N Milwaukee Ave Ste 18",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607143165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7900 N Milwaukee Ave Ste 18",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607143165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.