Active NPI
Nia J Heard-Garris, MD
- Pediatrics Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036144034
- Practice address
- 4867 N Broadway St
Chicago, IL 60640 - Phone
- (312) 227-2610
- NPI assigned
- Jun 7, 2011
- Last updated
- May 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0077850 | MD | |
| Pediatrics Physician | 208000000X | 4301107931 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 036144034 | IL | Primary |
Addresses
Primary practice location
4867 N Broadway St
Chicago, IL 60640
Mailing address
225 E Chicago Ave # 162
Chicago, IL 60611-2991
Phone (312) 227-2664
Other practice location 1
225 E Chicago Ave # 162
Chicago, IL 60611-2991
Phone (312) 227-6110
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Children's Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Lurie Children's Medical Group, LLC | Pediatrics | Past | Accepting new patients |
Locations
Claims Remittance
Carol Stream, IL 60122
225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415
225 E Chicago Ave
#118
Chicago, IL 60611
225 E Chicago Ave
#162
Chicago, IL 60611
Phone (312) 227-6110
4867 N Broadway St
Chicago, IL 60640
Phone (312) 227-2610
737 N Michigan Ave
Ste 2040
Chicago, IL 60611
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1356635205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE # 162",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4867 N BROADWAY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60640",
"telephone_number": "312-227-2610"
}
],
"practiceLocations": [
{
"address_1": "225 E Chicago Ave # 162",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112991",
"country_code": "US",
"telephone_number": "312-227-6110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEARD-GARRIS",
"first_name": "NIA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0077850",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301107931",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036144034",
"primary": true
}
],
"identifiers": [],
"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 May 15, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.