Individual provider Active NPI

Andrew R Allen, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1285148486
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2020-0090 Issued in NM
Practice address
7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone
(773) 947-7500
NPI assigned
Nov 27, 2017
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0006234 CO
Physician Assistant 363A00000X 085.006449 IL
Physician Assistant 363A00000X PA2020-0090 NM Primary

Addresses

Primary practice location

7531 S Stony Island Ave
Chicago, IL 60649-3954

Mailing address

1040 Columbia Dr NE
Albuquerque, NM 87106-2627
Phone (908) 239-4299

Other practice location 1

10755 163rd Pl
Orland Park, IL 60467
Phone (908) 239-4299

Other practice location 2

5799 Stetson Hills Blvd
Colorado Springs, CO 80917
Phone (908) 239-4299

Other practice location 3

1225 W Lake St
Melrose Park, IL 60160
Phone (908) 239-4299

Other practice location 4

701 W North Ave
Melrose Park, IL 60160
Phone (908) 239-4299

Other practice location 5

333 Madison St
Joliet, IL 60435
Phone (908) 239-4299

Other practice location 6

500 W Court St
Kankakee, IL 60901
Phone (908) 239-4299

Other practice location 7

1338 Phay Ave
Canon City, CO 81212
Phone (908) 239-4299

Other practice location 8

330 Paseo Del Pueblo Sur Ste C
Taos, NM 87571-5328
Phone (575) 758-1414

Other practice location 9

9551 Paseo Del Norte NE Ste D-106
Albuquerque, NM 87122-2975
Phone (505) 800-7050

Other practice location 10

1800 Unser Blvd NW Ste 500
Albuquerque, NM 87120-4353
Phone (505) 205-1271

Other practice location 11

8201 Golf Course Rd NW Ste A3
Albuquerque, NM 87120-5803
Phone (505) 800-7070

Other practice location 12

1630 Rio Rancho Blvd SE Ste 101
Rio Rancho, NM 87124-1587
Phone (505) 395-5520

Other practice location 13

5504 Menaul Blvd NE Ste F
Albuquerque, NM 87110-3184
Phone (505) 348-2868

Other names 1

  • Andrew R Jauregui Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180111001155 IL Practitioner - Physician Assistant 3072872332 Reassigns benefits to 3 organizations
I20200529000160 CO Practitioner - Physician Assistant 3072872332 Reassigns benefits to 1 organization
I20201125001249 NM Practitioner - Physician Assistant 3072872332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lovelace Urgent Care LLCGroup PAC ID 3375067663, 18 clinicians

Practice addresses (Care Compare)

330 Paseo del Pueblo Sur
Suite C
Taos, NM 87571-5328
Phone (575) 758-1414

5504 Menaul Blvd NE
Suite F
Albuquerque, NM 87110-3184
Phone (505) 348-2868

6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0006234COMDPhysician Assistant
085.006449ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Park Hospital Foundation Current Accepting new patients
Cep America - Illinois, LLP CurrentSince Dec 26, 2017 Accepting new patients
Cepamerica Illinois LLP CurrentSince Dec 26, 2017 Accepting new patients
Health Service Systems, Inc Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

1225 W Lake St
Melrose Park, IL 60160
Phone (708) 681-3000

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

Interoperability endpoints

  • Direct secure messaging: andrewallen@jph.medalliesdirect.net

Organizations & group practices 10

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 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": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1285148486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 COLUMBIA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062627",
            "telephone_number": "908-239-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493954",
            "telephone_number": "773-947-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10755 163rd Pl",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "60467",
            "country_code": "US",
            "telephone_number": "908-239-4299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5799 Stetson Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80917",
            "country_code": "US",
            "telephone_number": "908-239-4299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Melrose Park",
            "state": "IL",
            "postal_code": "60160",
            "country_code": "US",
            "telephone_number": "908-239-4299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Melrose Park",
            "state": "IL",
            "postal_code": "60160",
            "country_code": "US",
            "telephone_number": "908-239-4299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Madison St",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "60435",
            "country_code": "US",
            "telephone_number": "908-239-4299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Court St",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "60901",
            "country_code": "US",
            "telephone_number": "908-239-4299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1338 Phay Ave",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "81212",
            "country_code": "US",
            "telephone_number": "908-239-4299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Paseo Del Pueblo Sur Ste C",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875715328",
            "country_code": "US",
            "telephone_number": "575-758-1414",
            "fax_number": "575-758-1474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9551 Paseo Del Norte NE Ste D-106",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871222975",
            "country_code": "US",
            "telephone_number": "505-800-7050",
            "fax_number": "505-800-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Unser Blvd NW Ste 500",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871204353",
            "country_code": "US",
            "telephone_number": "505-205-1271",
            "fax_number": "505-205-1085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 Golf Course Rd NW Ste A3",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871205803",
            "country_code": "US",
            "telephone_number": "505-800-7070",
            "fax_number": "505-800-7075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Rio Rancho Blvd SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241587",
            "country_code": "US",
            "telephone_number": "505-395-5520",
            "fax_number": "505-395-5517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5504 Menaul Blvd NE Ste F",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871103184",
            "country_code": "US",
            "telephone_number": "505-348-2868",
            "fax_number": "505-348-2867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANDREW",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-27",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006234",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.006449",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2020-0090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "JAUREGUI",
            "middle_name": "R",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.