Bradley Jason Hewlett, M.D.
Individual provider Active NPI Anesthesiology Physician · McHenry, IL
NPI 1255564142 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1255564142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 036132370 (IL)
- Practice address
- 4309 W Medical Center Dr Ste A201
McHenry, IL 60050-8411 - Phone
- (815) 385-0084
- Fax
- (815) 385-8968
- NPI assigned
- Aug 26, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Rush Medical College of Rush University, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwestern Medical Faculty Foundation
Practice addresses (Care Compare)
4309 W Medical Ctr Dr
Suite A200
McHenry, IL 60050-8437
Phone (815) 759-8070
515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Northwestern Medicine McHenry
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130626000044 | IL | Practitioner - Anesthesiology | 9133368012 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125056412 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntley Anesthesia Associates LLC | Anesthesiology | Current |
Accepting new patients |
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Orthomidwest, PLLC | Current |
Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Orthomidwest, PLLC | Current |
Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
Dept 5777
Carol Stream, IL 60122
10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
4309 W Medical Center Dr
Ste A201
McHenry, IL 60050
Phone (815) 385-0084
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
324 Roxbury Rd
Rockford, IL 61107
Phone (815) 381-7339
5875 E Riverside Blvd
Rockford, IL 61114
Phone (779) 774-1270
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 125056412 | IL | |
| Anesthesiology Physician | 207L00000X | 036132370 | IL | Yes |
Addresses
Primary practice location
4309 W Medical Center Dr Ste A201
McHenry, IL 60050-8411
Mailing address
4309 W Medical Center Dr Ste A201
McHenry, IL 60050-8411
Phone (815) 385-0084
Other practice location 1
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (312) 926-3627
Other providers in McHenry, IL
- Cindy Lynn Herreweyers
- Patricia Herrmann
- Jamie Michele Herro
- Lorraine Herron
- Lynn Marie Hettermann
- Aigin Heydari
- Dustin Higdon
- Highland Park CVS, L.L.C.
- Sharon Hlinak
- Derek Ho
All providers in McHenry, IL · Anesthesiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.