Individual provider Active NPI

Alexander Neuman

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1295114668
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036144496 Issued in IL
Practice address
5359 W Fullerton Ave
Chicago, IL 60639
Phone
(773) 836-2785
Fax
(773) 836-7381
NPI assigned
May 19, 2015
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 036144496 IL Primary

Addresses

Primary practice location

5359 W Fullerton Ave
Chicago, IL 60639

Mailing address

5359 W Fullerton Ave
Chicago, IL 60639-1450
Phone (773) 836-2785

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
I20180731000014 IL Practitioner - Family Practice 6507114170 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

610 S Maple Ave
Suite 5500
Oak Park, IL 60304-2808
Phone (708) 660-5777

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
PCC Community Wellness Center CurrentSince Jun 10, 2018 Accepting new patients
Rush Oak Park Physicians Group Family Medicine Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Rush Oak Park ER Physicians Group CurrentSince Mar 23, 2020 Accepting new patients
Rush Oak Park Physicians Group Center for Diabetes and Endocrine CurrentSince Jan 13, 2020 Accepting new patients
PCC Community Wellness Center CurrentSince Jun 10, 2018 Accepting new patients
Rush Oak Park Physicians Group Adult Medicine Past Accepting new patients

Locations

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

5359 W Fullerton Ave
Chicago, IL 60639
Phone (773) 836-2785

75 Remittance Dr
Dept 1611
Chicago, IL 60675

75 Remittance Dr
Dept 1620
Chicago, IL 60675

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

520 S Maple Ave
Fl 3
Oak Park, IL 60304
Phone (708) 660-5900

610 S Maple Ave
Ste 2500
Oak Park, IL 60304
Phone (708) 524-1674

Interoperability endpoints

  • Direct secure messaging: aneuman144435@direct.rush.rush-health.com

Organizations & group practices 7

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 5

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1295114668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5359 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391450",
            "telephone_number": "773-836-2785",
            "fax_number": "773-836-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5359 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60639",
            "telephone_number": "773-836-2785",
            "fax_number": "773-836-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMAN",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036144496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.