Individual provider Active NPI

Julian W Dixon, M.D.

  • Otolaryngology Physician
  • Chicago, IL
National Provider Identifier
1568628337
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
125049043 Issued in IL
Practice address
180 N Michigan Ave Ste 1610
Chicago, IL 60601-7401
Phone
(312) 994-3000
Fax
(312) 201-1202
NPI assigned
Jul 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 125049043 IL Primary

Addresses

Primary practice location

180 N Michigan Ave Ste 1610
Chicago, IL 60601-7401

Mailing address

PO Box 3414
Suite 1107
Chicago, IL 60654-0414
Phone (773) 296-7159

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
I20110617000360 IL Practitioner - Otolaryngology 8022296284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of North Carolina at Chapel Hill School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

180 N Michigan Ave
Suite 1605
Chicago, IL 60601-7478

180 N Michigan Ave
Suite 1700
Chicago, IL 60601-7479
Phone (312) 229-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125049043ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Avenue ENT P.C. Otolaryngology CurrentSince Jan 26, 2019 Accepting new patients
Michigan Avenue Immediate Care Current Accepting new patients
Endopeak SC CurrentSince Feb 1, 2016 Accepting new patients
Presence Healthcare Services Past Accepting new patients

Locations

180 N Michigan Ave
Ste 1700
Chicago, IL 60601
Phone (312) 229-9000

836 W Wellington Ave
#4411
Chicago, IL 60657
Phone (267) 324-8862

180 N Michigan Ave
Ste 1610
Chicago, IL 60601
Phone (312) 229-9000

Interoperability endpoints

  • Direct secure messaging: jdixon276169@direct.myadvocateaurora.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1568628337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3414",
            "address_2": "SUITE 1107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606540414",
            "telephone_number": "773-296-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 1610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "312-994-3000",
            "fax_number": "312-201-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JULIAN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "125049043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.