Individual provider Active NPI

Arsenio D Atadero, M.D.

  • Internal Medicine Physician
  • Algonquin, IL
National Provider Identifier
1700884194
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036094916 Issued in IL
Practice address
2220 Huntington Dr N
Algonquin, IL 60102-4419
Phone
(847) 854-0050
Fax
(847) 854-0055
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036094916 IL Primary

Addresses

Primary practice location

2220 Huntington Dr N
Algonquin, IL 60102-4419

Mailing address

2220 Huntington Dr N
Algonquin, IL 60102-4419
Phone (847) 854-0050

Other identifiers 2

IdentifierTypeStateIssuer
05632094OtherILBLUE CROSS BLUE SHIELD
036094916MedicaidIL

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
I20040515000311 IL Practitioner - Internal Medicine 8123018736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Algonquin Family Healthcare PCGroup PAC ID 5698765295, 2 clinicians

Practice addresses (Care Compare)

2220 Huntington Dr N
Algonquin, IL 60102-4419
Phone (847) 854-0050

Hospital & facility affiliations

  • American Family Home Health Services LLC Home health agency, Huntley, IL, CCN 148370
  • Empower Home Health Services Home health agency, West Dundee, IL, CCN 147852
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Algonquin Family Healthcare PC Internal Medicine CurrentSince May 1, 2004 Accepting new patients

Locations

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

600 S Randall Rd
Ste 210C
Algonquin, IL 60102

2220 Huntington Dr N
Algonquin, IL 60102
Phone (847) 854-0050

1950 Larkin Ave
Elgin, IL 60123
Phone (847) 742-5200

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

Interoperability endpoints

  • Direct secure messaging: aatadero288422@direct.myadvocateaurora.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIAAAA/Endpoint/EIAAAA

Organizations & group practices 1

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 7

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1700884194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 HUNTINGTON DR N",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024419",
            "telephone_number": "847-854-0050",
            "fax_number": "847-854-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 HUNTINGTON DR N",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024419",
            "telephone_number": "847-854-0050",
            "fax_number": "847-854-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATADERO",
        "first_name": "ARSENIO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036094916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05632094",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094916",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.