Individual provider Active NPI

Andrew Joseph Schubkegel, MD

  • Otolaryngology Physician
  • Clarendon Hills, IL
National Provider Identifier
1275521320
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036084344 Issued in IL
Practice address
57 East Ogden Ave
Clarendon Hills, IL 60514-1026
Phone
(630) 495-6000
Fax
(630) 495-6001
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036084344 IL Primary

Addresses

Primary practice location

57 East Ogden Ave
Clarendon Hills, IL 60514-1026

Mailing address

57 Ogden Ave
Clarendon Hills, IL 60514-1026
Phone (630) 495-6000

Other identifiers 3

IdentifierTypeStateIssuer
04 0005492OtherILRAILROAD MEDICARE
036084344MedicaidIL
022-15697OtherILBLUE CROSS AND BLUE SHIELD

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
I20080411000501 IL Practitioner - Otolaryngology 2163319807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Head and Neck Cosmetic Surgery Associates LLCGroup PAC ID 2264476118, 22 clinicians

Practice addresses (Care Compare)

3000 N Halsted St
Suite 400
Chicago, IL 60657-8480
Phone (773) 296-5500

57 E Ogden Ave
Clarendon Hills, IL 60514-1026
Phone (630) 495-6000

57 Ogden Ave
Clarendon Hills, IL 60514-1026
Phone (630) 495-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036084344ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Head & Neck Cosmetic Surgery Associates LLC Otolaryngology CurrentSince Jun 13, 2025 Accepting new patients
ENT Specialists, LTD CurrentSince Apr 1, 1992 Accepting new patients
Presence Healthcare Services Past Accepting new patients

Locations

3000 N Halsted St
Ste 400
Chicago, IL 60657
Phone (773) 296-5500

57 Ogden Ave
Clarendon Hls, IL 60514
Phone (630) 495-6000

Interoperability endpoints

  • Direct secure messaging: andrewjschubkegelmd@esl-il.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1275521320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 OGDEN AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141026",
            "telephone_number": "630-495-6000",
            "fax_number": "630-495-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 EAST OGDEN AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141026",
            "telephone_number": "630-495-6000",
            "fax_number": "630-495-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBKEGEL",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036084344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "04 0005492",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084344",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "022-15697",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarendon Hills, IL

Sources for this page

Verify at the official NPI Registry.