NPIMap

Organization Active NPI

Fremont Fertility Partners, PLLC

  • Reproductive Endocrinology Physician
  • Chicago, IL
National Provider Identifier
1538991989
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
FREMONT FERTILITY PARTNERS, PLLC
Doing business as
CCRM Fertility
Practice address
225 W Wacker Dr Ste 800
Chicago, IL 60606-1260
Phone
(303) 968-1950
NPI assigned
Aug 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Matt Tyson
Title
Director, Managed Care Contracting
Phone
(615) 477-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

225 W Wacker Dr Ste 800
Chicago, IL 60606-1260

Mailing address

225 W Wacker Dr Ste 800
Chicago, IL 60606-1260

Other names 1

  • CCRM Fertility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CCRM Fertility3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

225 W Wacker Dr
Chicago, IL 60606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1538991989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W WACKER DR STE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W WACKER DR STE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061260",
            "telephone_number": "303-968-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT FERTILITY PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE CONTRACTING",
        "authorized_official_telephone_number": "615-477-6677"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCRM Fertility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCRM Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 10, 2026; 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.