Individual provider Active NPI

Arthur S Pettigrew, MD

  • Family Medicine Physician
  • Bolingbrook, IL
National Provider Identifier
1699824482
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036101644 Issued in IL
Practice address
396 Remington Blvd Ste 380
Bolingbrook, IL 60440-4302
Phone
(224) 273-4000
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036101644 IL Primary

Addresses

Primary practice location

396 Remington Blvd Ste 380
Bolingbrook, IL 60440-4302

Mailing address

396 Remington Blvd Ste 380
Bolingbrook, IL 60440-4302
Phone (224) 273-4000

Other identifiers 3

IdentifierTypeStateIssuer
080158547OtherILRAILROAD MEDICARE PTAN
399980OtherILMEDICARE GROUP PTAN
036101644MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arthur.pettigrew.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000132 IL Practitioner - Family Practice 6709776255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Bolingbrook, IL 60440-4311

396 Remington Blvd
Suite 380
Bolingbrook, IL 60440-4302
Phone (224) 273-4000

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Home Care Home health agency, La Grange, IL, CCN 147207
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036101644ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Family Medicine CurrentSince Feb 1, 2009 Accepting new patients
Adventist Health Partners, Inc Family Medicine CurrentSince Feb 1, 2009 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Cardiology Associates of Northern Illinois Past Accepting new patients
Adventist Health Partners,Inc Family Medicine Past Accepting new patients

Locations

396 Remington Blvd
Ste 380
Bolingbrook, IL 60440
Phone (224) 273-4000

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

15728 S Route 59
Plainfield, IL 60544
Phone (815) 436-8831

15722 S Route 59
#142
Plainfield, IL 60544
Phone (815) 436-8831

Interoperability endpoints

  • Direct secure messaging: apettigrew1240879@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 4

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1699824482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD STE 380",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404302",
            "telephone_number": "224-273-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD STE 380",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404302",
            "telephone_number": "224-273-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIGREW",
        "first_name": "ARTHUR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036101644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "080158547",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "399980",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101644",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arthur.pettigrew.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "396 Remington Blvd Ste 380",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604404302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.