NPIMap

Organization Active NPI

Housecalls Done Wright LTD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1699317693
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOUSECALLS DONE WRIGHT LTD
Practice address
4021 W 63Rd St
Chicago, IL 60629-4642
Phone
(773) 750-2571
Fax
(773) 284-2702
NPI assigned
Oct 10, 2019
Last updated
Mar 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Dr. Ronald Hickombottom, MDNPI 1023020989
Title
Medical Director
Phone
(312) 622-6461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4021 W 63Rd St
Chicago, IL 60629-4642

Mailing address

801 S Financial PL Apt 2416
Chicago, IL 60605-1796
Phone (773) 750-2571

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL athenahealth Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191126002715 IL Part B Supplier - Clinic/Group Practice 5092148387 Receives reassigned benefits from 21 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

4021 W 63rd St
Chicago, IL 60629
Phone (773) 750-2571

4021 W 63rd St
Ste C
Chicago, IL 60629
Phone (312) 504-3277

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4021/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1699317693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S FINANCIAL PL APT 2416",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051796",
            "telephone_number": "773-750-2571",
            "fax_number": "773-284-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294642",
            "telephone_number": "773-750-2571",
            "fax_number": "773-284-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSECALLS DONE WRIGHT LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "HICKOMBOTTOM",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-622-6461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athenahealth",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4021 W 63rd St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606294642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.