NPIMap

Individual provider Active NPI

James J Rydel, MD

  • Nephrology Physician
  • Oak Lawn, IL
National Provider Identifier
1225078413
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036081397 Issued in IL
Practice address
4542 W 95TH St
Oak Lawn, IL 60453-2627
Phone
(708) 425-0522
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036081397 IL Primary

Addresses

Primary practice location

4542 W 95TH St
Oak Lawn, IL 60453-2627

Mailing address

4542 W 95TH St
Oak Lawn, IL 60453-2627
Phone (708) 425-0522

Other identifiers 1

IdentifierTypeStateIssuer
036081397MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jrydel274591@direct.myadvocateaurora.org Direct
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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000491 IL Practitioner - Nephrology 3870486095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Rush Medical College of Rush University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
J R Nephology and Associates IncGroup PAC ID 5496783334, 4 clinicians

Practice addresses (Care Compare)

4542 W 95TH St
Oak Lawn, IL 60453-2627
Phone (708) 425-0522

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036081397ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J R Nephology & Associates Inc CurrentSince Jan 23, 2001 Accepting new patients
Associates in Nephrology, S.C. Nephrology PastSince Jul 21, 2024 Accepting new patients

Locations

4542 W 95th St
Oak Lawn, IL 60453
Phone (219) 775-7722

Interoperability endpoints

  • Direct secure messaging: jrydel@jrnephrology.amazing-direct.com
  • Direct secure messaging: jrydel274591@direct.myadvocateaurora.org

Organizations & group practices 2

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 10

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1225078413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532627",
            "telephone_number": "708-425-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4542 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532627",
            "telephone_number": "708-425-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDEL",
        "first_name": "JAMES",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036081397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081397",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrydel274591@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4542 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532627",
            "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": "4542 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.