NPIMap

Organization Active NPI

Uropartners, LLC

  • Urology Physician
  • La Grange Highlands, IL
National Provider Identifier
1346295128
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROPARTNERS, LLC
Practice address
5201 S Willow Springs Rd
Ste 380
La Grange Highlands, IL 60525-6539
Phone
(708) 354-2550
Fax
(708) 354-4552
NPI assigned
May 23, 2006
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Richard Harris, MDNPI 1346290673
Title
Authorized Representative
Phone
(708) 450-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Urology Physician 208800000X Primary

Addresses

Primary practice location

5201 S Willow Springs Rd
Ste 380
La Grange Highlands, IL 60525-6539

Mailing address

5201 S Willow Springs Rd
Ste 380
La Grange Highlands, IL 60525-6539
Phone (708) 354-2550

Other identifiers 2

IdentifierTypeStateIssuer
01635877OtherBCBS
DE0709OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050915000277 IL Part B Supplier - Clinic/Group Practice 9436182946 Receives reassigned benefits from 148 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20100930085072 IL DME Supplier - Physician - Urology 9436182946 Practice locations: La Grange Highlands, IL

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Uropartners LLC33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1346295128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S WILLOW SPRINGS RD",
            "address_2": "STE 380",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256539",
            "telephone_number": "708-354-2550",
            "fax_number": "708-354-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S WILLOW SPRINGS RD",
            "address_2": "STE 380",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256539",
            "telephone_number": "708-354-2550",
            "fax_number": "708-354-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROPARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "708-450-5055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01635877",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE0709",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Highlands, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.