Active NPI
Cook County
Doing business as Cook County Health - P -UA
- Multi-Specialty Clinic/Center
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- COOK COUNTY
- Doing business as
- Cook County Health - P -UA
- Practice address
- 500 E 51St St
Chicago, IL 60615-2400 - Phone
- (312) 572-2000
- NPI assigned
- Nov 2, 2018
- Last updated
- Jun 11, 2019
- Organization subpart
- Yes
- Parent organization
- COOK COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Andrle
- Title
- Director of Managed Care Operations
- Phone
- (312) 864-4649
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
500 E 51St St
Chicago, IL 60615-2400
Mailing address
500 E 51St St
Chicago, IL 60615-2400
Other names 1
- Cook County Health - P -UA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100216000401 | IL | Part A Provider - Hospital | 2860398088 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chicago, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1477021913. Details of each certification follow.
Hospital certification: CCN 140300
- Legal name
- COOK COUNTY
- Doing business as
- PROVIDENT HOSPITAL OF COOK COUNTY
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Oct 8, 1993
- Last certification
- Jul 2, 2005
- Beds
- 222
- Ownership / control type
- Local
- Organization structure
- Government
- Incorporated
- Jan 1, 1866 in IL
- Enrollment address
- 500E 51St St
Chicago, IL 60615-2400 - Hospital subgroups
- Acute care
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba John Sengstacke Health Center (FFS)
- Family Medicine Physician
- Chicago, IL
- NPI 1235760224
O20100216000401
-
dba Provident Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1487664561
O20100216000401
-
dba Provident Hospital of Cook County
- Clinic Pharmacy
- Chicago, IL
- NPI 1588781298
O20100216000401
-
dba Bronzeville Health Center
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
O20100216000401
Care Compare: Hospital
Medicare Care Compare- Listed as
- Provident Hospital of Chicago
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Community Triage Center
- Part of
- Community Triage Center
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Ruth M. Rothstein CORE Center (FFS)
- Family Medicine Physician
- Chicago, IL
- NPI 1366073256
-
dba Arlington Heights Health Center (FFS)
- Family Medicine Physician
- Arlington Heights, IL
- NPI 1366073355
-
dba Cook County Health Professional Building
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1386110674
-
dba Cottage Grove Health Center (FFS)
- Family Medicine Physician
- Ford Heights, IL
- NPI 1427689413
-
dba Oak Forest Health Center (FFS)
- Family Medicine Physician
- Oak Forest, IL
- NPI 1457982340
-
dba Morton East Adolescent Health Center (FFS)
- Family Medicine Physician
- Cicero, IL
- NPI 1457982449
-
dba Cook County Health at North Riverside Health
- Primary Care Clinic/Center
- Riverside, IL
- NPI 1497875298
-
dba Cook County Health Professional Building
- Family Medicine Physician
- Chicago, IL
- NPI 1518598507
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Eze Peter Nwaezeigwe | Corporate Director | Nov 13, 2018 | |
| W-2 Managing Employee | Nov 13, 2018 | ||
| Cook County | 5% Or Greater Direct Ownership Interest | Aug 17, 1993 | 100% |
| Scott Spencer | Corporate Officer | Dec 29, 2025 | |
| W-2 Managing Employee | Dec 29, 2025 | ||
| Michael Sumrall | W-2 Managing Employee | Jun 22, 2016 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Provident Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1487664561
5% Or Greater Direct Ownership Interest
-
dba Provident Dialysis Center
- Renal Dialysis Technician
- Chicago, IL
- NPI 1578170221
5% Or Greater Direct Ownership Interest
-
dba John H. Stroger, Jr. Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
5% Or Greater Direct Ownership Interest
-
dba John H. Stroger, Jr. Hospital of Cook County
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1821278938
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Affiliated clinicians 166
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1477021913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E 51ST ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606152400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E 51ST ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606152400",
"telephone_number": "312-572-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOK COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COOK COUNTY",
"enumeration_date": "2018-11-02",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "ANDRLE",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE OPERATIONS",
"authorized_official_telephone_number": "312-864-4649"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cook County Health - P -UA",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chicago, IL
- Cook County (Children's Advocacy Center)
- Cook County (Ruth M. Rothstein CORE Center (FFS))
- Cook County (Cook County Health Professional Building)
- Cook County (Near South Health Cener)
- Cook County (Provident Hospital FFS)
- Cook County (Provident Hospital of Cook County)
- Cook County (Woodlawn Health Center)
- Cook County (Cook County Health Professional Building)
- Cook County (Woodlawn Health Center (FFS))
- Cook County (Austin Health Center (FFS))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.