Eden Ambito Bautista-Ordonez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036062992 Issued in IL

Practice address

1020 E Ogden Ave Ste 302
Naperville, IL 60563-8611

Phone

(630) 355-1093

Fax

(630) 355-9390

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Eden B. Ordonez Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: ebautistaordonez252116@direct.myadvocateaurora.org

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.

• Physician House-Call Services, Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Elmhurst, IL
  • NPI 1386796803
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1528024478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E OGDEN AVE STE 302",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638611",
            "telephone_number": "630-355-1093",
            "fax_number": "630-355-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA-ORDONEZ",
        "first_name": "EDEN",
        "middle_name": "AMBITO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036062992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebautistaordonez252116@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1020 E Ogden Ave Ste 302",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605638611",
            "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": "1020 E Ogden Ave Ste 302",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605638611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EDEN",
            "last_name": "ORDONEZ",
            "middle_name": "B.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gwendolyn Theresa Bauer, PT, DPT
• Tammy Bauk
• Michelle Marie Baum, MSW, MPH, LCSW
• Tracy Jo Bauman, M.ED
• Morgan Baumert
• Nazli Bavani, M.D.
• Mansoina Baweja, MD
• Beth Clevenger Baxter, MA LCPC
• Molly A Baxter
• Madelyn Grace Baygood

• Pediatrics Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.