Active NPI
Azita Ardakani, M.D.
- Obstetrics & Gynecology Physician
- La Grange Highlands, IL
National Provider Identifier
1649384256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036-089177
- Practice address
- 5201 Willow Springs Rd Ste 120
La Grange Highlands, IL 60525-6540 - Phone
- (708) 245-6097
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036-089177 | IL | Primary |
Addresses
Primary practice location
5201 Willow Springs Rd Ste 120
La Grange Highlands, IL 60525-6540
Mailing address
5201 Willow Springs Rd
120
La Grange Highlands, IL 60525-6537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-089177 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | azita.ardakani.1@380.direct.athenahealth.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111212000614 | IL | Practitioner - Obstetrics/Gynecology | 4385648997 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-089177 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Partners, Inc | Current | Accepting new patients | |
| Adventist Health Partners,Inc | Current | Accepting new patients | |
| Adventist Health Partners, Inc. | Current | Accepting new patients | |
| Gottlieb Community Health Services Corporation | Past | Accepting new patients |
Locations
396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301
1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440
Phone (630) 312-7755
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
5201 Willow Springs Rd
Ste 120
La Grange Highlands, IL 60525
Phone (708) 245-6097
Interoperability endpoints
- azita.ardakani.1@380.direct.athenahealth.com
- aardakani1240064@adventhealth.direct-ci.com
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.
-
- Internal Medicine Physician
- Westmont, IL
- NPI 1306889654
-
- Family Medicine Physician
- Bloomingdale, IL
- NPI 1043255888
-
- General Acute Care Hospital
- Berwyn, IL
- NPI 1043292428
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health Partners, Inc.
Practice addresses (Care Compare)
120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000
396 Remington Blvd
Bolingbrook, IL 60440-4311
5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-7044
Hospital & facility affiliations
- Uchicago Medicine Adventhealth Hinsdale
- Uchicago Medicine Adventhealth la Grange
- Loyola Gottlieb Memorial Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1649384256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD",
"address_2": "120",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD STE 120",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256540",
"telephone_number": "708-245-6097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARDAKANI",
"first_name": "AZITA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036-089177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-089177",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "azita.ardakani.1@380.direct.athenahealth.com",
"affiliation": "N",
"address_1": "5201 Willow Springs Rd Ste 120",
"city": "LA Grange Highlands",
"state": "IL",
"country_code": "US",
"postal_code": "605256540",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in La Grange Highlands, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.