NPIMap

Individual provider Active NPI

Nic I Hristea, MD

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1285689703
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036105393 Issued in IL
Practice address
10801 S Western Ave Ste 201
Chicago, IL 60643-3225
Phone
(773) 770-4824
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036105393 IL Primary

Addresses

Primary practice location

10801 S Western Ave Ste 201
Chicago, IL 60643-3225

Mailing address

210 S Desplaines St
Chicago, IL 60661-5500
Phone (312) 654-2700

Other identifiers 1

IdentifierTypeStateIssuer
036105393MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nhristea276142@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000675 IL Practitioner - NephrologyPractitioner - Internal Medicine 3274552831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Nephrology SCGroup PAC ID 9133023963, 52 clinicians

Practice addresses (Care Compare)

2701 W 68TH St
Chicago, IL 60629-1813
Phone (773) 884-9000

326 W 64TH St
Chicago, IL 60621-3114
Phone (773) 962-3900

3400 S Indiana Ave
Chicago, IL 60616-3841
Phone (312) 842-5000

45 W 111TH St
Chicago, IL 60628-4200
Phone (773) 995-3000

4616 S Bishop St
Chicago, IL 60609-3240
Phone (773) 650-5900

825 W 35TH St
Chicago, IL 60609-1511
Phone (312) 654-2744

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Nephrology, S.C. Nephrology CurrentSince Apr 4, 2010 Accepting new patients

Locations

10801 S Western Ave
Ste 201
Chicago, IL 60643
Phone (773) 770-4824

6307 S Stewart Ave
Ste 202
Chicago, IL 60621
Phone (224) 244-6411

825 W 35th St
Chicago, IL 60609
Phone (773) 890-4330

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

4026 Paysphere Cir
Chicago, IL 60674

Interoperability endpoints

  • Direct secure messaging: nhristea18491@direct.acumenmd.com
  • Direct secure messaging: nhristea276142@direct.myadvocateaurora.org

Organizations & group practices 1

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 12

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1285689703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S DESPLAINES ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615500",
            "telephone_number": "312-654-2700",
            "fax_number": "312-654-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 S WESTERN AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433225",
            "telephone_number": "773-770-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRISTEA",
        "first_name": "NIC",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036105393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105393",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nhristea276142@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2555 S King Dr",
            "address_2": "2nd Flr",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606162419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2555 S King Dr",
            "address_2": "2nd Flr",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606162419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.