Individual provider Active NPI

Andrew James Lerrick, M.D.

  • Otolaryngology Physician
  • Normal, IL
National Provider Identifier
1730185513
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036-082725 Issued in IL
Practice address
207 Landmark Dr Ste a
Normal, IL 61761-3195
Phone
(309) 268-3200
NPI assigned
Jun 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 288547 MA
Otolaryngology Physician 207Y00000X 036-082725 IL Primary

Addresses

Primary practice location

207 Landmark Dr Ste a
Normal, IL 61761-3195

Mailing address

611 W Park St
Fapc
Urbana, IL 61801-2500

Other practice location 1

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 583-7736

Other identifiers 1

IdentifierTypeStateIssuer
04746778MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20060321000308 IL Practitioner - Otolaryngology 7911914643 Reassigns benefits to 2 organizations
I20170509002191 NY Practitioner - Otolaryngology 7911914643 Reassigns benefits to 5 organizations
I20220111000129 MA Practitioner - Otolaryngology 7911914643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians

Practice addresses (Care Compare)

207 Landmark Dr
Suite a
Normal, IL 61761-3195
Phone (309) 268-3212

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

  • Carle Bromenn Medical Center Hospital, Normal, IL, CCN 140127
  • Carle Eureka Hospital Hospital, Eureka, IL, CCN 141309

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-082725ILMDOtolaryngology Physician
288547MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle West Physician Group Inc CurrentSince Nov 6, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 28, 2024 Accepting new patients
United Medical Associates PC CurrentSince Sep 27, 2021 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jul 28, 2024 Accepting new patients
Prima Care, PC CurrentSince Feb 1, 2022 Accepting new patients
Prima Care, PC CurrentSince Feb 1, 2022 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jul 28, 2022 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jul 28, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 28, 2024 Accepting new patients
United Medical Associates, P.C. CurrentSince Sep 27, 2021 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Carle Health Care Incorporated CurrentSince Oct 4, 2025 Accepting new patients
Shakespeare Operating LLC CurrentSince Jul 28, 2024 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jul 28, 2022 Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352

207 Landmark Dr
Ste A
Normal, IL 61761
Phone (309) 268-3200

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

191 Bedford St
Fl 5
Fall River, MA 02720
Phone (508) 235-5445

191 Bedford St
Fall River, MA 02720
Phone (508) 235-5445

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

30 Harrison St
Ste 355
Johnson City, NY 13790
Phone (607) 763-6554

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: alerrickmd430022@carlehiedirect.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1119657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1730185513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "address_2": "FAPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 LANDMARK DR STE A",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613195",
            "telephone_number": "309-268-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104534303",
            "country_code": "US",
            "telephone_number": "718-583-7736",
            "fax_number": "718-537-6180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LERRICK",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-25",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "288547",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036-082725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04746778",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.