Organization Active NPI

Endocrinology Associates SC

  • Endocrinology, Diabetes & Metabolism Physician
  • Lombard, IL
National Provider Identifier
1285755223
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINOLOGY ASSOCIATES SC
Doing business as
Endocrinology Associates
Practice address
2500 S Highland Avenue
Ste 104
Lombard, IL 60148-5381
Phone
(630) 629-3610
Fax
(630) 629-4878
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Terrence Francis Swade, MDNPI 1699847202
Title
Authorized Official
Phone
(630) 629-3610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

2500 S Highland Avenue
Ste 104
Lombard, IL 60148-5381

Mailing address

2500 S Highland Avenue
Ste 104
Lombard, IL 60148-5381
Phone (630) 629-3610

Other names 1

  • Endocrinology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051215000197 IL Part B Supplier - Clinic/Group Practice 5193746352 Receives reassigned benefits from 2 practitioners
Practice locations: Elmhurst, IL; Lombard, IL; Downers Grove, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0416094Endocrinology Associates SC2500 S Highland Ave, Ste 104, Lombard, IL 60148Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

Locations

130 S Main St
Ste 303
Lombard, IL 60148
Phone (630) 424-9877

2500 S Highland Ave
Ste 104
Lombard, IL 60148
Phone (630) 629-3610

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1285755223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVENUE",
            "address_2": "STE 104",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485381",
            "telephone_number": "630-629-3610",
            "fax_number": "630-629-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVENUE",
            "address_2": "STE 104",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485381",
            "telephone_number": "630-629-3610",
            "fax_number": "630-629-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "SWADE",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "630-629-3610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrinology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.