Individual provider Active NPI

Cynthia Dendrinos, NP

  • Gerontology Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1457789034
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209-011457 Issued in IL
Practice address
1725W Harrison St 309
Chicago, IL 60612-3844
Phone
(312) 942-8011
Fax
(312) 942-2253
NPI assigned
Oct 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209-011457 IL Primary

Addresses

Primary practice location

1725W Harrison St 309
Chicago, IL 60612-3844

Mailing address

1725W Harrison St 309
Chicago, IL 60612-3844
Phone (312) 942-8011

Other practice location 1

710 W 168th St
suite 246
New York, NY 10032-3726
Phone (212) 305-6876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140123001968 NY Practitioner - Nurse Practitioner 3476781287
I20151113000834 IL Practitioner - Nurse Practitioner 3476781287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Center CurrentSince Oct 1, 2020 Accepting new patients
Rush University Medical Group CurrentSince Oct 1, 2020 Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 1106
Chicago, IL 60612
Phone (312) 563-2144

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 309
Chicago, IL 60612
Phone (312) 942-8011

Interoperability endpoints

  • Direct secure messaging: cdendrinos8286@direct.rush.rush-health.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1457789034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725W HARRISON ST 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123844",
            "telephone_number": "312-942-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725W HARRISON ST 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123844",
            "telephone_number": "312-942-8011",
            "fax_number": "312-942-2253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 W 168th St",
            "address_2": "suite 246",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323726",
            "country_code": "US",
            "telephone_number": "212-305-6876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENDRINOS",
        "first_name": "CYNTHIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209-011457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.