Active NPI
Robert J Andina, M.D.
- Specialist
- Chicago, IL
National Provider Identifier
1346235280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036059350
- Practice address
- 6250 S Archer Ave
Chicago, IL 60638-2639 - Phone
- (773) 581-8400
- Fax
- (773) 581-9577
- NPI assigned
- Sep 16, 2005
- Last updated
- Dec 30, 2021
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 036059350 | IL | Primary |
Addresses
Primary practice location
6250 S Archer Ave
Chicago, IL 60638-2639
Mailing address
6250 S Archer Ave
Chicago, IL 60638-2639
Phone (773) 581-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036059350 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | randina276200@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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Washington School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5702 W 95TH St
Oak Lawn, IL 60453-2345
Phone (773) 581-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036059350 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andina & Irabagon, S.C. | Specialist | Current | Accepting new patients |
Locations
8700 W 95th St
Ste 6
Hickory Hills, IL 60457
Phone (708) 430-2400
5702 W 95th St
Oak Lawn, IL 60453
Phone (708) 423-9982
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EDJIAA
- randina276200@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 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Christ Medical Center
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
dba Advocate Illinois Masonic Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
- Psychiatric Hospital Unit
- Chicago, IL
- NPI 1427547538
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1962425611
-
dba OSF Little Company of Mary Medical Center
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1346235280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6250 S ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606382639",
"telephone_number": "773-581-8400",
"fax_number": "773-581-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6250 S ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606382639",
"telephone_number": "773-581-8400",
"fax_number": "773-581-9577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDINA",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036059350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036059350",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "randina276200@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "8700 W 95th St Ste 6",
"city": "Hickory Hills",
"state": "IL",
"country_code": "US",
"postal_code": "604572727",
"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": "8700 W 95th St Ste 6",
"city": "Hickory Hills",
"state": "IL",
"country_code": "US",
"postal_code": "604572727",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.