Individual provider Active NPI

Rolando Subijano, FNP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1467066209
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015123 Issued in CA
Practice address
1544 W Chicago Ave
Chicago, IL 60642-5236
Phone
(773) 232-2300
Fax
(773) 232-2301
NPI assigned
Aug 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015123 CA Primary

Addresses

Primary practice location

1544 W Chicago Ave
Chicago, IL 60642-5236

Mailing address

1840 W Huron St Unit 1
Chicago, IL 60622-5523
Phone (630) 965-0387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20201008001728 CA Practitioner - Nurse Practitioner 6800216003 Reassigns benefits to 1 organization
I20231005002962 IL Practitioner - Nurse Practitioner 6800216003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Coast KidneyGroup PAC ID 1759700149, 56 clinicians

Practice addresses (Care Compare)

2222 E St
Suite 365
Concord, CA 94520-2170
Phone (925) 686-1230

Hospital & facility affiliations

  • Contra Costa Regional Medical Center Hospital, Martinez, CA, CCN 050276

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.91
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shifa Nephrology Associates LLC CurrentSince Sep 14, 2023 Accepting new patients
Bio-Medical Applications of Eureka, Inc. CurrentSince Dec 6, 2020 Accepting new patients
West Coast Kidney CurrentSince Apr 12, 2025 Accepting new patients

Locations

2370 Country Hills Dr
Ste 101
Antioch, CA 94509
Phone (925) 779-9635

2222 East St
Ste 365
Concord, CA 94520
Phone (925) 686-1230

2765 Timber Ridge Ln
Eureka, CA 95503
Phone (707) 444-2534

1544 W Chicago Ave
Chicago, IL 60642
Phone (312) 432-1707

1044 N Mozart St
Chicago, IL 60622
Phone (773) 292-8247

1945 W Wilson Ave
Ste 5110
Chicago, IL 60640
Phone (773) 878-6600

6316 N Lincoln Ave
#200
Chicago, IL 60659
Phone (773) 423-6400

Interoperability endpoints

  • Direct secure messaging: rolando.subijano.1@8243.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1467066209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W HURON ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225523",
            "telephone_number": "630-965-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236",
            "telephone_number": "773-232-2300",
            "fax_number": "773-232-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBIJANO",
        "first_name": "ROLANDO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.