Individual provider Active NPI

Helen Rose Minciotti, MD

  • Pediatric Adolescent Medicine Physician
  • Schaumburg, IL
National Provider Identifier
1295731313
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
036-078924 Issued in IL
Practice address
955 National Pkwy Ste 40
Schaumburg, IL 60173-5161
Phone
(847) 884-9440
Fax
(847) 884-8051
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-078924 IL
Pediatric Adolescent Medicine Physician 2080A0000X 036-078924 IL Primary

Addresses

Primary practice location

955 National Pkwy Ste 40
Schaumburg, IL 60173-5161

Mailing address

955 National Pkwy Ste 40
Schaumburg, IL 60173-5161
Phone (847) 884-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-078924ILMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ann & Robert H. Lurie Children'S Hospital of Chicago Current Accepting new patients
Pediatrust, L.L.C. Pediatrics PastSince Mar 24, 2024 Accepting new patients
Woodfield Pediatrics SC Adolescent Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hminciotti420972@direct.myadvocateaurora.org
  • Direct secure messaging: hminciotti119540@direct.luriechildrens.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1295731313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 NATIONAL PKWY STE 40",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735161",
            "telephone_number": "847-884-9440",
            "fax_number": "847-884-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 NATIONAL PKWY STE 40",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735161",
            "telephone_number": "847-884-9440",
            "fax_number": "847-884-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCIOTTI",
        "first_name": "HELEN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-078924",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IL",
            "license": "036-078924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.