Active NPI
Nicholas Parise, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1306930938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036069949
- Practice address
- 5145 N. California Avenue
Chicago, IL 60625 - Phone
- (773) 309-7525
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036069949 | IL | Primary |
Addresses
Primary practice location
5145 N. California Avenue
Chicago, IL 60625
Mailing address
5140 N. California Avenue
Suite 635/645
Chicago, IL 60625
Phone (773) 309-7525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336-033878 | Other | IL | CONTROLLED SUBSTANCE |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036069949 | IL | MD | Internal Medicine Physician |
Interoperability endpoints
- nparise251694@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1306930938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 N. CALIFORNIA AVENUE",
"address_2": "SUITE 635/645",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60625",
"telephone_number": "773-309-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5145 N. CALIFORNIA AVENUE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60625",
"telephone_number": "773-309-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARISE",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036069949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE",
"identifier": "336-033878",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.