Individual provider Active NPI

Steven Bennett Dritz, M.D.

  • Urology Physician
  • Melrose Park, IL
National Provider Identifier
1629027016
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036056021 Issued in IL
Practice address
501 W North Ave Ste 201
Melrose Park, IL 60160-1600
Phone
(708) 450-5055
Fax
(708) 338-2474
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036056021 IL Primary

Addresses

Primary practice location

501 W North Ave Ste 201
Melrose Park, IL 60160-1600

Mailing address

675 W North Ave
Suite 605
Melrose Park, IL 60160-1634
Phone (708) 450-5055

Other identifiers 2

IdentifierTypeStateIssuer
P00247042OtherILMEDICARE RAILROAD
036056021MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stevendritz@uropart.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1629027016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 605",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "708-450-5055",
            "fax_number": "708-338-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W NORTH AVE STE 201",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601600",
            "telephone_number": "708-450-5055",
            "fax_number": "708-338-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRITZ",
        "first_name": "STEVEN",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036056021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00247042",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056021",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stevendritz@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "675 W North Ave",
            "address_2": "suite 605",
            "city": "Melrose Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601601634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.