Individual provider Active NPI

Ofelia Ayuste, M.D.

  • Pediatrics Physician
  • Downers Grove, IL
National Provider Identifier
1669558961
Registry record updated May 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036065791 Issued in IL
Practice address
4121 Fairview Ave Ste 100
Downers Grove, IL 60515-2266
Phone
(630) 971-8881
Fax
(630) 971-8842
NPI assigned
Oct 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036065791 IL Primary

Addresses

Primary practice location

4121 Fairview Ave Ste 100
Downers Grove, IL 60515-2266

Mailing address

4121 Fairview Ave Ste 100
Downers Grove, IL 60515-2266
Phone (630) 971-8881

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036065791ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ofelia B. Ayuste M.D.S.C. Pediatrics Current Accepting new patients

Locations

4121 Fairview Ave
Ste 100
Downers Grove, IL 60515
Phone (630) 968-4790

5207 Main St
Downers Grove, IL 60515
Phone (630) 435-9888

Organizations & group practices 1

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": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621123200000",
    "number": "1669558961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 FAIRVIEW AVE STE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152266",
            "telephone_number": "630-971-8881",
            "fax_number": "630-971-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 FAIRVIEW AVE STE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152266",
            "telephone_number": "630-971-8881",
            "fax_number": "630-971-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYUSTE",
        "first_name": "OFELIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-29",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036065791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; 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.