Active NPI
Andres Maldonad, M.D., PHD
- General Acute Care Hospital
- Chicago, IL
National Provider Identifier
1467846022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 125.064739
- Practice address
- 6019 S Ingleside Ave
Apartment 902
Chicago, IL 60637-2600 - Phone
- (412) 801-2319
- NPI assigned
- Mar 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 125.064739 | IL | Primary |
Addresses
Primary practice location
6019 S Ingleside Ave
Apartment 902
Chicago, IL 60637-2600
Mailing address
6019 S Ingleside Ave
Apartment 902
Chicago, IL 60637-2600
Phone (412) 801-2319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.064739 | IL | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426982400000",
"number": "1467846022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6019 S INGLESIDE AVE",
"address_2": "APARTMENT 902",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606372600",
"telephone_number": "412-801-2319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 S INGLESIDE AVE",
"address_2": "APARTMENT 902",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606372600",
"telephone_number": "412-801-2319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONAD",
"first_name": "ANDRES",
"name_prefix": "Dr.",
"credential": "M.D., PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-22",
"last_updated": "2015-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": "125.064739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 22, 2015; 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.