Active NPI
Doris Shuwen Huang, FNP
- Nurse Practitioner
- Chicago, IL
National Provider Identifier
1447304431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209003913
- Practice address
- 5130 W Jackson Blvd
Chicago, IL 60644-4332 - Phone
- (773) 921-8000
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209-003913 | IL | |
| Nurse Practitioner | 363L00000X | 209003913 | IL | Primary |
Addresses
Primary practice location
5130 W Jackson Blvd
Chicago, IL 60644-4332
Mailing address
PO Box 7513
Chicago, IL 60680-7513
Phone (312) 925-7013
Other practice location 1
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400145113 | Other | IL | MEDICARE PTA |
Other names 1
- Shuwen Huang
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DHUANG168411@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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209003913 | IL | MD | Nurse Practitioner |
| 209-003913 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| MD @ Home Illinois, SC | Current | Accepting new patients |
Locations
2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Interoperability endpoints
- dhuang168411@direct.luhs.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.
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IL, Nurse Practitioner
-
- Urgent Care Clinic/Center
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-
- Psychiatric Hospital
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1447304431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7513",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606807513",
"telephone_number": "312-925-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 W JACKSON BLVD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606444332",
"telephone_number": "773-921-8000"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUANG",
"first_name": "DORIS",
"middle_name": "SHUWEN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209-003913",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209003913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTA",
"identifier": "F400145113",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DHUANG168411@DIRECT.LUHS.ORG",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2160 S 1st Ave",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "601533328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHUWEN",
"last_name": "HUANG",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 3, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.