Individual provider Active NPI

Ursula Patricia Colareta Ugarte, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Park Ridge, IL
National Provider Identifier
1700187531
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
036126809 Issued in IL
Practice address
1444 Carol St Apt a
Park Ridge, IL 60068-1290
Phone
(347) 848-7022
NPI assigned
Nov 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 036126809 IL Primary

Addresses

Primary practice location

1444 Carol St Apt a
Park Ridge, IL 60068-1290

Mailing address

1444 Carol St Apt a
Park Ridge, IL 60068-1290
Phone (347) 848-7022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140609002465 IL Practitioner - Pediatric Medicine 0446474654
I20230104002868 IN Practitioner - Pediatric Medicine 0446474654 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036126809ILMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Jan 1, 2023 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Jan 1, 2023 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

6121 Cleveland St
Merrillville, IN 46410
Phone (219) 738-5985

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1700187531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 CAROL ST APT A",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681290",
            "telephone_number": "347-848-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 CAROL ST APT A",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681290",
            "telephone_number": "347-848-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLARETA UGARTE",
        "first_name": "URSULA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036126809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.