Individual provider Active NPI

Alexander Peter Soneru, MD

  • Orthopaedic Hand Surgery Physician
  • La Grange, IL
National Provider Identifier
1558656033
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
036147102 Issued in IL
Practice address
47 6TH Ave
Ste M
La Grange, IL 60525-5637
Phone
(708) 354-4900
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 125059381 IL
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X 036147102 IL Primary

Addresses

Primary practice location

47 6TH Ave
Ste M
La Grange, IL 60525-5637

Mailing address

47 6TH Ave
Ste M
La Grange, IL 60525-5637
Phone (708) 354-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ASONERU143205@DIRECT.LUHS.ORG Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180910002090 IL Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 9638446388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of Chicago, Pritzker School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loyola Medical Group LLCGroup PAC ID 6305109547, 124 clinicians

Practice addresses (Care Compare)

47 6TH Ave
Suite M
La Grange, IL 60525-5637
Phone (708) 354-2663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125059381ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola Medical Group LLC Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients
Gottlieb Community Health Services Corporation Multi-Specialty Past Accepting new patients
Suburban Orthopaedics LTD Multi-Specialty Past Accepting new patients

Locations

3345 Oak Park Ave
Berwyn, IL 60402
Phone (708) 788-9400

3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430

47 6th Ave
Ste M
La Grange, IL 60525
Phone (708) 354-2663

47 6th Ave
Lagrange Hlds, IL 60525
Phone (708) 354-4900

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

Interoperability endpoints

  • Direct secure messaging: asoneru143205@direct.luhs.org

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 3

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1558656033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 6TH AVE",
            "address_2": "STE M",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255637",
            "telephone_number": "708-354-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 6TH AVE",
            "address_2": "STE M",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255637",
            "telephone_number": "708-354-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONERU",
        "first_name": "ALEXANDER",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125059381",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IL",
            "license": "036147102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ASONERU143205@DIRECT.LUHS.ORG",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "47 6TH AVE",
            "address_2": "STE M",
            "city": "LA GRANGE",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605255637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.