Individual provider Active NPI

Andrew Joseph Kreppel, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1215048525
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-133711 Issued in IL
Practice address
1740 W Taylor St
Children'S Hospital Univeristy of Illinois
Chicago, IL 60612-7232
Phone
(312) 996-8927
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-133711 IL Primary

Addresses

Primary practice location

1740 W Taylor St
Children'S Hospital Univeristy of Illinois
Chicago, IL 60612-7232

Mailing address

840 S Wood St
MC 856
Chicago, IL 60612-4325
Phone (312) 996-8927

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
I20130910000819 IL Practitioner - Infectious DiseasePractitioner - Pediatric Medicine 6800030073 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-133711ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of the University of Illinois Pediatrics CurrentSince Aug 16, 2013 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Cook County Pediatrics CurrentSince Jan 20, 2022 Accepting new patients
Rush University Medical Group Pediatrics CurrentSince Nov 3, 2022 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 16, 2013 Accepting new patients
Cook County CurrentSince Jan 20, 2022 Accepting new patients
Cook County Current Accepting new patients
The Board of Trustees of the University of Illinois Past Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

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

1740 W Taylor St
Ste 1400
Chicago, IL 60612
Phone (312) 996-3900

7694 Solutions Ctr
Chicago, IL 60677

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

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1725 W Harrison St
Ste 710
Chicago, IL 60612
Phone (312) 942-5983

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

Interoperability endpoints

  • Direct secure messaging: akreppel17199@uihealth.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1215048525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S WOOD ST",
            "address_2": "MC 856",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325",
            "telephone_number": "312-996-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "address_2": "CHILDREN'S HOSPITAL UNIVERISTY OF ILLINOIS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "312-996-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREPPEL",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-133711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.