Active NPI
Ulysses M Magnanao, D.O.
- Family Medicine Physician
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036105671
- Practice address
- 1710 N Randall Rd
Suite 200
Elgin, IL 60123-9400 - Phone
- (847) 214-5780
- Fax
- (847) 214-5777
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036105671 | IL | Primary |
Addresses
Primary practice location
1710 N Randall Rd
Suite 200
Elgin, IL 60123-9400
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036105671 | Medicaid | IL | |
| 612034800 | Other | IL | IL DEPT OF LABOR |
| 05632168 | Other | IL | BLUE CROSS & BLUE SHIELD |
| P01117452 | Other | IL | RAILROAD MEDICARE PTAN |
| 05632414 | Other | IL | BCBS PROV # |
| 1619414 | Other | IL | BCBS GROUP |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | umagnanao205113@direct.myadvocateaurora.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1710 N Randall Rd
Elgin, IL 60123-9402
1710 N Randall Rd
Suite 250
Elgin, IL 60123-9408
Phone (847) 888-1914
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
Hospital & facility affiliations
- Advocate Home Health Care Serv
- Empower Home Health Services
- Advocate Sherman Hospital
- Advocate Good Shepherd Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Medcare Health Center LTD | Past | Accepting new patients |
Locations
600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300
1054 Norwood Ln
Bartlett, IL 60103
Phone (630) 213-3232
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1710 N Randall Rd
Ste 200
Elgin, IL 60123
Phone (847) 214-5738
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
Interoperability endpoints
- umagnanao205113@direct.myadvocateaurora.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Chiropractor
- Rochelle, IL
- NPI 1245376698
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- Home Health Agency
- West Dundee, IL
- NPI 1023803228
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1225020142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 N RANDALL RD",
"address_2": "SUITE 200",
"city": "ELGIN",
"state": "IL",
"postal_code": "601239400",
"telephone_number": "847-214-5780",
"fax_number": "847-214-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNANAO",
"first_name": "ULYSSES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036105671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036105671",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL DEPT OF LABOR",
"identifier": "612034800",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "05632168",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01117452",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV #",
"identifier": "05632414",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "1619414",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1710 N Randall Rd",
"address_2": "Suite 200",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601239400",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "umagnanao205113@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1710 N Randall Rd",
"address_2": "Suite 200",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601239400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.