Individual provider Active NPI

Brenda S Fritz, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Chicago, IL
National Provider Identifier
1265535678
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
385000368 Issued in IL
Practice address
680 N Lake Shore Dr
Chicago, IL 60611-4546
Phone
(312) 926-6146
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Medical Physician Assistant 363AM0700X 385000368 IL Primary

Addresses

Primary practice location

680 N Lake Shore Dr
Chicago, IL 60611-4546

Mailing address

680 N Lake Shore Dr
Chicago, IL 60611-4546

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070312000087 IL Practitioner - Physician Assistant 7214030352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Commerce Dr
Oak Brook, IL 60523-8865

1630 Sherman Ave
Evanston, IL 60201-3711

350 S Waukegan
Suite 150
Deerfield, IL 60015-5239
Phone (312) 926-3107

350 S Waukegan Rd
Deerfield, IL 60015-5239
Phone (312) 926-6146

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
385000368ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winfield Pathology Consultants, S.C. Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2014 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2014 Accepting new patients
Central Dupage Hospital Association CurrentSince Jan 6, 2014 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations (25 of 28)

2635 Church Rd
Ste 101
Aurora, IL 60502
Phone (630) 315-6900

820 S State Route 59
Bartlett, IL 60103
Phone (630) 213-9600

231 S Gary Ave
Ste 100
Bloomingdale, IL 60108
Phone (630) 893-9600

Dept 5777
Carol Stream, IL 60122

4445 W Irving Park Rd
Ste 110
Chicago, IL 60641
Phone (312) 921-0417

4732 N Lincoln Ave
Chicago, IL 60625
Phone (312) 926-0536

680 N Lake Shore Dr
Chicago, IL 60611
Phone (312) 503-6000

1135 S Delano Ct E
Ste B201
Chicago, IL 60605
Phone (312) 694-2500

1333 W Belmont Ave
Ste 100
Chicago, IL 60657
Phone (312) 693-2273

171 N Aberdeen St
Ste 100
Chicago, IL 60607
Phone (312) 694-2273

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

360 Station Dr
Ste 300A
Crystal Lake, IL 60014
Phone (815) 788-7500

350 S Waukegan Rd
Ste 150
Deerfield, IL 60015
Phone (312) 926-3107

885 Roosevelt Rd
Ste 100
Glen Ellyn, IL 60137
Phone (630) 384-6200

2701 Patriot Blvd
Ste 110
Glenview, IL 60026
Phone (312) 694-2273

10350 Haligus Rd
Ste A
Huntley, IL 60142
Phone (815) 455-6100

525 Rockland Rd
Ste 100
Lake Bluff, IL 60044
Phone (847) 475-2273

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2507 N Richmond Rd
Ste B
McHenry, IL 60051
Phone (815) 206-7500

21202 Owens Rd
Ste 101
Mokena, IL 60448
Phone (779) 334-0030

636 Raymond Dr
Ste 107
Naperville, IL 60563
Phone (630) 359-8396

1001 Commerce Dr
Ste 105
Oak Brook, IL 60523

15300 West Ave
Ste 20
Orland Park, IL 60462
Phone (708) 460-5550

2900 Foxfield Rd
Ste 100
St Charles, IL 60174
Phone (630) 377-6500

1850 Gateway Dr
Ste 100
Sycamore, IL 60178
Phone (815) 217-3252

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1265535678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-926-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "BRENDA",
        "middle_name": "S",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "385000368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.