Individual provider Active NPI

Emmanuel Roberto Angeles, APN

  • Acute Care Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1629310503
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209-009044 Issued in IL
Practice address
1435 N Randall Rd Ste 201
Elgin, IL 60123-2303
Phone
(847) 695-3168
NPI assigned
Mar 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-009044 IL
Acute Care Nurse Practitioner 363LA2100X 209-009044 IL Primary

Addresses

Primary practice location

1435 N Randall Rd Ste 201
Elgin, IL 60123-2303

Mailing address

1435 N Randall Rd Ste 201
Elgin, IL 60123-2303
Phone (847) 695-3168

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address eangeles280226@direct.myadvocateaurora.org Direct
FHIR URL https://epicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150210000542 IL Practitioner - Nurse Practitioner 6002131257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians

Practice addresses (Care Compare)

1435 N Randall Rd
Suite 201
Elgin, IL 60123-2303
Phone (847) 695-3168

Hospital & facility affiliations

  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-009044ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Sep 14, 2020 Accepting new patients
Central Dupage Physician Group CurrentSince Jun 17, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Sep 14, 2020 Accepting new patients
Central Dupage Physician Group CurrentSince Jun 17, 2020 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

Dept 5777
Carol Stream, IL 60122

29373 Network Pl
Chicago, IL 60673

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1435 N Randall Rd
Ste 201
Elgin, IL 60123
Phone (847) 695-3168

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Interoperability endpoints

  • Direct secure messaging: eangeles280226@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.

Hospital & facility affiliations 2

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1629310503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD STE 201",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232303",
            "telephone_number": "847-695-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD STE 201",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232303",
            "telephone_number": "847-695-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELES",
        "first_name": "EMMANUEL",
        "middle_name": "ROBERTO",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-009044",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209-009044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eangeles280226@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1435 N Randall Rd Ste 201",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601232303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1435 N Randall Rd Ste 201",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601232303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.