Individual provider Active NPI

Ernest G Nora, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1689783227
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036066176 Issued in IL
Practice address
3538 West Fullerton Ave.
Chicago, IL 60647
Phone
(773) 772-1212
Fax
(773) 772-8666
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036066176 IL Primary

Addresses

Primary practice location

3538 West Fullerton Ave.
Chicago, IL 60647

Mailing address

PO Box 95446
Chicago, IL 60694-5446
Phone (773) 772-1212

Other practice location 1

2913 N Commonwealth Ave Fl 5
Chicago, IL 60657-6211
Phone (773) 665-3080

Other identifiers 1

IdentifierTypeStateIssuer
036066176MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address enora5684@ce-direct.presencehealth.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120001004 IL Practitioner - Obstetrics/Gynecology 3779532312 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036066176ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Oct 1, 2016 Accepting new patients
Thorek Memorial Hospital CurrentSince Oct 8, 2012 Accepting new patients
Presence Healthcare Services Current Accepting new patients
Presence Healthcare Services CurrentSince Oct 1, 2016 Accepting new patients
Thorek Memorial Hospital CurrentSince Oct 8, 2012 Accepting new patients

Locations

1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440
Phone (630) 914-2417

2900 N Lake Shore Dr
Fl 1
Chicago, IL 60657
Phone (773) 665-3080

2913 N Commonwealth Ave
Fl 5
Chicago, IL 60657
Phone (773) 472-3427

2913 N Commonwealth Ave
Chicago, IL 60657
Phone (773) 665-3080

62311 Collection Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: enora5684@ce-direct.presencehealth.org

Organizations & group practices 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1689783227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95446",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606945446",
            "telephone_number": "773-772-1212",
            "fax_number": "773-772-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 WEST FULLERTON AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "773-772-1212",
            "fax_number": "773-772-8666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2913 N Commonwealth Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606576211",
            "country_code": "US",
            "telephone_number": "773-665-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORA",
        "first_name": "ERNEST",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036066176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036066176",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enora5684@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2913 N Commonwealth Ave Fl 5",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.