Individual provider Active NPI

Susana Delia Cuadros, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1710476593
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036155479 Issued in IL
Practice address
2301 E 93Rd St
Chicago, IL 60617-3913
Phone
(773) 731-9898
Fax
(773) 933-8721
NPI assigned
May 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 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 036155479 IL Primary

Addresses

Primary practice location

2301 E 93Rd St
Chicago, IL 60617-3913

Mailing address

2301 E 93Rd St
Chicago, IL 60617-3913
Phone (773) 731-9898

Other names 1

  • Susana Delia Ugarte Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address scuadros207693@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20211129000276 IL Practitioner - Family Practice 2365832748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2301 E 93Rd St
Chicago, IL 60617-3912
Phone (773) 731-9898

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036155479ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Oct 8, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 8, 2021 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

2301 E 93rd St
Chicago, IL 60617
Phone (773) 731-9898

9555 S 52nd Ave
Oak Lawn, IL 60453
Phone (708) 422-5700

4140 Southwest Hwy
Oak Lawn, IL 60456
Phone (708) 422-5700

9555 S 52nd Ave
Ste F
Oak Lawn, IL 60453
Phone (708) 422-5700

Interoperability endpoints

  • Direct secure messaging: scuadros207693@direct.myadvocateaurora.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1710476593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173913",
            "telephone_number": "773-731-9898",
            "fax_number": "773-933-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173913",
            "telephone_number": "773-731-9898",
            "fax_number": "773-933-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUADROS",
        "first_name": "SUSANA",
        "middle_name": "DELIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036155479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scuadros207693@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2301 E 93rd St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2301 E 93rd St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSANA",
            "last_name": "UGARTE",
            "middle_name": "DELIA",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.