Individual provider Active NPI

Eric D Roberts, ARNP

  • Nurse Practitioner
  • Oak Park, IL
National Provider Identifier
1669554465
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.013365 Issued in IL
Practice address
932 Lake St
Oak Park, IL 60301-1204
Phone
(331) 221-1700
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.013365 IL Primary

Addresses

Primary practice location

932 Lake St
Oak Park, IL 60301-1204

Mailing address

1512 Euclid Ave
Berwyn, IL 60402-1329
Phone (816) 217-9916

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
I20151230002558 IL Practitioner - Nurse Practitioner 1759314982 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

932 Lake St
Oak Park, IL 60301-1204
Phone (630) 527-3645

Hospital & facility affiliations

  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.013365ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Current Accepting new patients
Rush Oak Park ER Physicians Group CurrentSince Nov 23, 2015 Accepting new patients
Edward Health Ventures CurrentSince Feb 1, 2022 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Feb 16, 2022 Accepting new patients
Edward Hospital CurrentSince Feb 16, 2022 Accepting new patients
Edward Hospital CurrentSince Feb 16, 2022 Accepting new patients
Edward Health Ventures Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 30, 2023 Accepting new patients
Rush University Medical Group Past Accepting new patients
Physicians Acute Care Services, Inc Past Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

75 Remittance Dr
Dept 1620
Chicago, IL 60675

9532 Eagle Way
Chicago, IL 60678

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

1653 W Congress Pkwy
#177
Chicago, IL 60612
Phone (312) 947-0229

1653 W Congress Pkwy
#1
Chicago, IL 60612
Phone (312) 947-0229

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

8 Salt Creek Ln
Ste 301
Hinsdale, IL 60521
Phone (331) 221-2550

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

2007 95th St
Naperville, IL 60564
Phone (630) 646-5800

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

932 Lake St
Ste 300
Oak Park, IL 60301
Phone (331) 221-1700

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

932 Lake St
Oak Park, IL 60301
Phone (331) 221-1700

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: eroberts122302@direct.rush.rush-health.com

Organizations & group practices 10

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 1

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1669554465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 EUCLID AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021329",
            "telephone_number": "816-217-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011204",
            "telephone_number": "331-221-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ERIC",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.013365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.