NPIMap

Individual provider Active NPI

Eric Jason Pales, M.D.

  • Internal Medicine Physician
  • Park Ridge, IL
National Provider Identifier
1508938507
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-097368 Issued in IL
Practice address
1550 N Northwest Hwy
Suite 211
Park Ridge, IL 60068-1411
Phone
(847) 768-9300
Fax
(847) 768-9393
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-097368 IL Primary

Addresses

Primary practice location

1550 N Northwest Hwy
Suite 211
Park Ridge, IL 60068-1411

Mailing address

1550 N Northwest Hwy
Suite 211
Park Ridge, IL 60068-1411
Phone (847) 768-9300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address epales252106@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000267 IL Practitioner - Internal Medicine 6103010830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1550 N Northwest Hwy
Suite 211
Park Ridge, IL 60068-1459
Phone (847) 768-9300

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-097368ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Illinois, SC Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients
Morgan Medical Group, LLC CurrentSince Dec 1, 2017 Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients

Locations

1550 N Northwest Hwy
Ste 211
Park Ridge, IL 60068
Phone (847) 768-9300

1550 N Northwest Hwy
Park Ridge, IL 60068
Phone (847) 294-5163

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 8

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1508938507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY",
            "address_2": "SUITE 211",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681411",
            "telephone_number": "847-768-9300",
            "fax_number": "847-768-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY",
            "address_2": "SUITE 211",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681411",
            "telephone_number": "847-768-9300",
            "fax_number": "847-768-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALES",
        "first_name": "ERIC",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-097368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epales252106@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1550 N Northwest Hwy",
            "address_2": "Suite 211",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1550 N Northwest Hwy",
            "address_2": "Suite 211",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681411",
            "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.