Active NPI
John Paul Estrada, MD
- Obstetrics & Gynecology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 82360
- Practice address
- 800 E 55TH St
Chicago, IL 60615-4906 - Phone
- (773) 702-0660
- NPI assigned
- Jul 3, 2007
- Last updated
- Jan 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 82360 | GA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 4301090889 | MI |
Addresses
Primary practice location
800 E 55TH St
Chicago, IL 60615-4906
Mailing address
3495 Piedmont Rd NE BLDG 91
Atlanta, GA 30305-1717
Phone (404) 365-0966
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4815 Johnston Oehler Rd
Suite 200
Charlotte, NC 28269-1065
Phone (704) 801-7410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301090889 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Carolinas Medical Center | Obstetrics & Gynecology | Current | Accepting new patients |
| Atrium Health North Market Network LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients |
Locations
1175 Cascade Pkwy SW
Atlanta, GA 30311
Phone (404) 505-4006
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3645
5440 Hillandale Dr
Lithonia, GA 30058
Phone (770) 322-2716
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310
4815 Johnston Oehler Rd
#200
Charlotte, NC 28269
Phone (704) 801-7410
Interoperability endpoints
- jestrada1669270@direct.novanthealth.org
- jestrada2956542@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Atrium Health Primary Care One Health Family Medicine
- Family Medicine Physician
- Mooresville, NC
- NPI 1871112920
Obstetrics & Gynecology
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Obstetrics & Gynecology
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1700084548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT RD NE BLDG 91",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051717",
"telephone_number": "404-365-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 55TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606154906",
"telephone_number": "773-702-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "JOHN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "82360",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301090889",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2400 Mount Zion Pkwy",
"city": "Jonesboro",
"state": "GA",
"country_code": "US",
"postal_code": "302362500",
"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 Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.