Individual provider Active NPI

Aatish Madhiwala, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1225246036
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036722808 Issued in IL
Practice address
2875 W 19TH St
Dept. of Anesthesiology (4TH Floor)
Chicago, IL 60623-3501
Phone
(773) 484-4099
NPI assigned
May 18, 2007
Last updated
Oct 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036722808 IL Primary

Addresses

Primary practice location

2875 W 19TH St
Dept. of Anesthesiology (4TH Floor)
Chicago, IL 60623-3501

Mailing address

4929 Jerome Ave
Skokie, IL 60077-3317

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
I20100112000749 IL Practitioner - Anesthesiology 2668513698 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sahag LLCGroup PAC ID 4486913480, 9 clinicians

Practice addresses (Care Compare)

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4452

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036722808ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Feb 1, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Belgrade Clinic PLLP Current Accepting new patients
The Board of Trustees of the University of Illinois Anesthesiology CurrentSince Feb 1, 2016 Accepting new patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

2875 W 19th St
Fl 4
Chicago, IL 60623
Phone (773) 484-4099

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

33 W Main St
Belgrade, MT 59714
Phone (406) 388-3334

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

Organizations & group practices 6

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1225246036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 JEROME AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 W 19TH ST",
            "address_2": "DEPT. OF ANESTHESIOLOGY (4TH FLOOR)",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233501",
            "telephone_number": "773-484-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADHIWALA",
        "first_name": "AATISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036722808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.