Active NPI
John L. Bertolozzi, D.O.
- Anesthesiology Physician
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036095646
- Practice address
- 2000 Ogden Ave
Aurora, IL 60504-7222 - Phone
- (630) 978-4860
- NPI assigned
- Aug 15, 2006
- Last updated
- Mar 10, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 036095646 | IL | |
| Anesthesiology Physician | 207L00000X | 036095646 | IL | Primary |
Addresses
Primary practice location
2000 Ogden Ave
Aurora, IL 60504-7222
Mailing address
185 Penny Ave
East Dundee, IL 60118-1454
Phone (847) 836-7015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036095646 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbertolozzi143224@direct.luhs.org | Direct |
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
- Anesthesiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 788-9100
701 W N Ave
Melrose Park, IL 60160-1612
Phone (708) 681-3200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036095646 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gottlieb Community Health Services Corporation | Current | Accepting new patients | |
| Guardian Anesthesia Associates, S.C | Anesthesiology | Current | Accepting new patients |
| Loyola Medical Group LLC | Current | Accepting new patients | |
| Loyola University Medical Center | Interventional Pain Medicine | Current | Accepting new patients |
| Midwest Anesthesiologists, LTD. | Anesthesiology | Current | Accepting new patients |
| Encore Anesthesia Group LLC | Anesthesiology | Current | Accepting new patients |
| Gottlieb Community Health Services Corporation | Interventional Pain Medicine | Current | Accepting new patients |
| Anesthesia Associates, LTD | Current | Accepting new patients |
Locations
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
3407 Momentum Pl
Chicago, IL 60689
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
185 Penny Ave
East Dundee, IL 60118
Phone (847) 836-7015
17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200
125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900
701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
100 5th St
Oswego, IL 60543
Phone (630) 449-0085
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1558987883
-
- General Practice Physician
- Berwyn, IL
- NPI 1013415603
-
- Pain Medicine (Anesthesiology) Physician
- Aurora, IL
- NPI 1952308223
-
- Interventional Pain Medicine Physician
- Aurora, IL
- NPI 1326097221
Anesthesiology
-
- General Practice Physician
- Berwyn, IL
- NPI 1376041954
-
- Interventional Pain Medicine Physician
- Oak Lawn, IL
- NPI 1447209390
Anesthesiology
-
- Psychiatric Hospital Unit
- Berwyn, IL
- NPI 1700864352
Interventional Pain Medicine
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
Interventional Pain Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MacNeal Hospital
- General Acute Care Hospital
- Berwyn, IL
- NPI 1295710580
-
- General Acute Care Hospital
- Melrose Park, IL
- NPI 1831170232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1407869779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 PENNY AVE",
"city": "EAST DUNDEE",
"state": "IL",
"postal_code": "601181454",
"telephone_number": "847-836-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OGDEN AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605047222",
"telephone_number": "630-978-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTOLOZZI",
"first_name": "JOHN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036095646",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036095646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036095646",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbertolozzi143224@direct.luhs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2000 Ogden Ave",
"city": "Aurora",
"state": "IL",
"country_code": "US",
"postal_code": "605047222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.