Individual provider Active NPI

Adrienne Margaret Burford-Foggs, M.D.

  • Rheumatology Physician
  • Chicago, IL
National Provider Identifier
1619921541
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036072741 Issued in IL
Practice address
233 E Erie St Ste 701
Chicago, IL 60611-5933
Phone
(312) 664-4000
Fax
(312) 664-4006
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036072741 IL Primary

Addresses

Primary practice location

233 E Erie St Ste 701
Chicago, IL 60611-5933

Mailing address

233 E Erie St Ste 701
Chicago, IL 60611-5933
Phone (312) 664-4000

Other identifiers 1

IdentifierTypeStateIssuer
036072741MedicaidIL

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
I20040608000917 IL Practitioner - Internal MedicinePractitioner - Rheumatology 0042293474

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Time Life Inc CurrentSince Apr 1, 2016 Accepting new patients
Citi Physicians PastSince Jul 10, 2012 Accepting new patients

Locations

207 E Ohio St
Chicago, IL 60611
Phone (312) 907-4400

233 E Erie St
Ste 701
Chicago, IL 60611
Phone (312) 664-4000

207 E Ohio St
#172
Chicago, IL 60611

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJHHBA/Endpoint/HJHHBA

Organizations & group practices 2

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1619921541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E ERIE ST STE 701",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115933",
            "telephone_number": "312-664-4000",
            "fax_number": "312-664-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E ERIE ST STE 701",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115933",
            "telephone_number": "312-664-4000",
            "fax_number": "312-664-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURFORD-FOGGS",
        "first_name": "ADRIENNE",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036072741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072741",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.