Active NPI
Ann McDermott, D.O.
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-085758
- Practice address
- 5140 N California Ave
Suite 635/645
Chicago, IL 60625-3645 - Phone
- (773) 878-8200
- Fax
- (773) 878-0788
- NPI assigned
- May 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-085758 | IL | Primary |
Addresses
Primary practice location
5140 N California Ave
Suite 635/645
Chicago, IL 60625-3645
Mailing address
5140 N California Ave
Suite 635/645
Chicago, IL 60625-3645
Phone (773) 878-8200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amcdermott277050@direct.northshore.org |
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
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
5215 N California Ave
Chicago, IL 60625-8564
Hospital & facility affiliations
- Swedish Hospital
- Northshore University Healthsystem - Evanston Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-085758 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Covenant Management Services, Inc. | Family Medicine | Current | Accepting new patients |
| Swedish Covenant Management Services, Inc | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Family Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Family Medicine | Current | Accepting new patients |
Locations
5215 N California Ave
Ste 602
Chicago, IL 60625
Phone (773) 293-8824
5215 N California Ave
Ste F602
Chicago, IL 60625
Phone (773) 878-3627
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
251 E Huron St
Chicago, IL 60611
2740 W Foster Ave
Ste 310
Chicago, IL 60625
5140 N California Ave
Ste 635645
Chicago, IL 60625
Phone (773) 989-6200
9532 Eagle Way
Chicago, IL 60678
5215 N California Ave
Ste 700
Chicago, IL 60625
Phone (847) 691-0404
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
Interoperability endpoints
- amcdermott277050@direct.northshore.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Family Medicine
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
Family Medicine
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1407002108
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1437109204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 N CALIFORNIA AVE",
"address_2": "SUITE 635/645",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253645",
"telephone_number": "773-878-8200",
"fax_number": "773-878-0788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 N CALIFORNIA AVE",
"address_2": "SUITE 635/645",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253645",
"telephone_number": "773-878-8200",
"fax_number": "773-878-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2022-07-21",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-085758",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amcdermott277050@direct.northshore.org",
"affiliation": "N",
"address_1": "5140 N California Ave",
"address_2": "SUITE 635/645",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606253645",
"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 Jul 21, 2022; 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.