Individual provider Active NPI

Nadieska Caballero

  • Otolaryngology Physician
  • Park Ridge, IL
National Provider Identifier
1447489448
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036138417 Issued in IL
Practice address
1030 Higgins Rd Ste 325
Park Ridge, IL 60068-5740
Phone
(847) 287-2078
Fax
(847) 655-7450
NPI assigned
Jul 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036138417 IL Primary

Addresses

Primary practice location

1030 Higgins Rd Ste 325
Park Ridge, IL 60068-5740

Mailing address

1030 Higgins Rd Ste 325
Park Ridge, IL 60068-5740
Phone (847) 287-2078

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ncaballeromd22515@uchospital.direct-ci.com University of Chicago Physicians Group

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806012082 IL Practitioner - Otolaryngology 5597989137 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Chicago, Pritzker School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of Chicago Medical CenterGroup PAC ID 7618880766, 907 clinicians
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians

Practice addresses (Care Compare)

1030 Higgins Rd
Suite 325
Park Ridge, IL 60068-5740
Phone (847) 655-7442

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

Hospital & facility affiliations

  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Sinus and Allergy Center, S.C Otolaryngology CurrentSince Apr 1, 2019 Accepting new patients
Ear, Nose & Throat Specialists of Illinois LTD CurrentSince Sep 1, 2015 Accepting new patients
The University of Chicago Medical Center CurrentSince Jun 15, 2018 Accepting new patients
The University of Chicago Medical Center CurrentSince Jun 15, 2018 Accepting new patients
University of Chicago CurrentSince Jun 15, 2018 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

1800 Hollister Dr
Ste 1
Libertyville, IL 60048

8780 W Golf Rd
Ste 200
Niles, IL 60714
Phone (847) 824-4390

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

2604 Dempster St
Ste 501
Park Ridge, IL 60068
Phone 8476745585111

1030 Higgins Rd
Ste 325
Park Ridge, IL 60068
Phone (847) 287-2078

Interoperability endpoints

  • Direct secure messaging: ncaballeromd22515@uchospital.direct-ci.com
  • Direct secure messaging: n.caballero@advancedsinus.directglo.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1447489448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HIGGINS RD STE 325",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685740",
            "telephone_number": "847-287-2078",
            "fax_number": "847-655-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HIGGINS RD STE 325",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685740",
            "telephone_number": "847-287-2078",
            "fax_number": "847-655-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "888-824-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "NADIESKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-11",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036138417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncaballeromd22515@uchospital.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "University of Chicago Physicians Group",
            "address_1": "5841 S Maryland Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606371443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.