Individual provider Active NPI

Joseph D. Reses, MD

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1356526255
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036-133205 Issued in IL
Practice address
5744 N Broadway St
Chicago, IL 60660-4302
Phone
(312) 335-0180
Fax
(773) 275-4679
NPI assigned
Jan 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036-133205 IL Primary

Addresses

Primary practice location

5744 N Broadway St
Chicago, IL 60660-4302

Mailing address

5744 N Broadway St
Chicago, IL 60660-4302
Phone (312) 335-0180

Other practice location 1

200 Fox Glen
Barrington, IL 60010-1809
Phone (847) 382-7165

Other practice location 2

201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171

Other practice location 3

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721

Other identifiers 1

IdentifierTypeStateIssuer
F400407539OtherILMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130712000415 IL Practitioner - Anesthesiology 6507997913 Reassigns benefits to 5 organizations
I20190806001265 NY Practitioner - Anesthesiology 6507997913 Reassigns benefits to 2 organizations
I20200828002835 GA Practitioner - Anesthesiology 6507997913 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-133205ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Aug 15, 2013 Accepting new patients
Yorkville Endoscopy, LLC CurrentSince Oct 14, 2023 Accepting new patients
Au Medical Associates Anesthesia Billing Services, LLC Anesthesiology CurrentSince Sep 1, 2020 Accepting new patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Aug 28, 2017 Accepting new patients
Albany Medical College Anesthesiology CurrentSince Aug 11, 2019 Accepting new patients
Midwest Anesthesia Partners, LLC Anesthesiology CurrentSince Sep 15, 2014 Accepting new patients
Albany Medical College Anesthesiology CurrentSince Jul 15, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 15, 2013 Accepting new patients
Albany Medical College Current Accepting new patients
Rockford Health Physicians CurrentSince Sep 8, 2018 Accepting new patients
Albany Medical College Anesthesiology Current Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Jun 1, 2020 Accepting new patients
Albany Medical College CurrentSince Jul 15, 2019 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Windy City Anesthesia PC Past Accepting new patients
Chicago Area Partners in Anesthesia LLC Anesthesiology Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

4300 University Pkwy
Evans, GA 30809
Phone (706) 721-8614

405 W Jackson St
Carbondale, IL 62901

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

Dept 5777
Carol Stream, IL 60122

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

47 New Scotland Ave
#180
Albany, NY 12208
Phone (518) 262-5076

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

201 E 93rd St
New York, NY 10128
Phone (917) 281-0100

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1356526255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5744 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604302",
            "telephone_number": "312-335-0180",
            "fax_number": "773-275-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5744 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604302",
            "telephone_number": "312-335-0180",
            "fax_number": "773-275-4679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Fox Glen",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600101809",
            "country_code": "US",
            "telephone_number": "847-382-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483631",
            "country_code": "US",
            "telephone_number": "618-942-2171",
            "fax_number": "618-351-4919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011462",
            "country_code": "US",
            "telephone_number": "618-549-0721",
            "fax_number": "618-529-0449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESES",
        "first_name": "JOSEPH",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-133205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "F400407539",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.