Individual provider Active NPI

Jerry Andrews, D.O.

  • Internal Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1205875507
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036105798 Issued in IL
Practice address
657 E Golf Rd
Suite 311
Arlington Heights, IL 60005-4968
Phone
(847) 378-8233
NPI assigned
Jun 5, 2006
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036105798 IL Primary

Addresses

Primary practice location

657 E Golf Rd
Suite 311
Arlington Heights, IL 60005-4968

Mailing address

657 E Golf Rd
Suite 311
Arlington Heights, IL 60005-4968
Phone (847) 378-8233

Other practice location 1

800 Biesterfield Rd Ste 505
Elk Grove Village, IL 60007-3362
Phone (847) 437-5843

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jerry.andrews.1@380.direct.athenahealth.com

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
I20080225000053 IL Practitioner - Internal Medicine 8426132986 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

657 E Golf Rd
Arlington Heights, IL 60005-4968
Phone (847) 378-8233

800 Biesterfield Rd
Suite 505
Elk Grove Village, IL 60007-3362
Phone (847) 437-5843

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036105798ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G and a Clinics Internal Medicine CurrentSince Apr 1, 2000 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Jul 1, 2017 Accepting new patients
Hospital Medicine Consultants LLC Past Accepting new patients

Locations

657 E Golf Rd
Ste 311
Arlington Heights, IL 60005
Phone (847) 378-8233

657 E Golf Rd
Arlington Hts, IL 60005
Phone (847) 378-8233

165 S Bloomingdale Rd
Bloomingdale, IL 60108
Phone (630) 980-2001

1920 Nerge Rd
Elk Grove Vlg, IL 60007
Phone (847) 301-0550

800 Biesterfield Rd
Ste 505
Elk Grove Vlg, IL 60007
Phone (847) 437-5843

1545 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 844-0011

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412

Interoperability endpoints

  • Direct secure messaging: jerry.andrews.1@380.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1205875507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E GOLF RD",
            "address_2": "SUITE 311",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054968",
            "telephone_number": "847-378-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E GOLF RD",
            "address_2": "SUITE 311",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054968",
            "telephone_number": "847-378-8233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Biesterfield Rd Ste 505",
            "address_purpose": "LOCATION",
            "city": "Elk Grove Village",
            "state": "IL",
            "postal_code": "600073362",
            "country_code": "US",
            "telephone_number": "847-437-5843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036105798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerry.andrews.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "800 Biesterfield Rd Ste 505",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.