Active NPI
Drew Ludwig, DO
- Critical Care Medicine (Internal Medicine) Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 036150777
- Practice address
- 5145 N California Ave
Chicago, IL 60625-3661 - Phone
- (773) 989-3833
- Fax
- (773) 878-3753
- NPI assigned
- Jul 30, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036150777 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 20A13096 | CA | |
| Surgical Critical Care Physician | 2086S0102X | P1098 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 125049218 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036150777 | IL | Primary |
Addresses
Primary practice location
5145 N California Ave
Chicago, IL 60625-3661
Mailing address
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 525-5300
Other practice location 1
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 525-5300
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8DY950 | Other | TX | BLUE CROSS BLUE SHIELD |
| 125049218 | Other | IL | 125049218 |
| 1730379355 | Other | TX | BLUE CROSS BLUE SHIELD |
| P01030494 | Other | TX | RR MEDICARE |
| 287720101 | Medicaid | TX | |
| 287720102 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dludwig277003@direct.northshore.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Michigan State University College of Osteopathic Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Suite 2218a
Evanston, IL 60201-1700
Phone (847) 503-4222
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13096 | CA | MD | Emergency Medicine Physician |
| 20A13096 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
| P1098 | TX | MD | Surgical Critical Care Physician |
| 125049218 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Covenant Management Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Swedish Covenant Management Services, Inc. | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Internal Medicine | Current | Accepting new patients |
| TMH Physician Associates PLLC | Internal Medicine | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2740 W Foster Ave
Ste 310
Chicago, IL 60625
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Internal Medicine
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
Internal Medicine
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1699126383
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1730379355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054801",
"telephone_number": "707-525-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5145 N CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253661",
"telephone_number": "773-989-3833",
"fax_number": "773-878-3753"
}
],
"practiceLocations": [
{
"address_1": "1165 Montgomery Dr",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954054801",
"country_code": "US",
"telephone_number": "707-525-5300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUDWIG",
"first_name": "DREW",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036150777",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "20A13096",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "P1098",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125049218",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036150777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8DY950",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "125049218",
"identifier": "125049218",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1730379355",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01030494",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287720101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287720102",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dludwig277003@direct.northshore.org",
"affiliation": "N",
"address_1": "5145 N California Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606253661",
"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 Oct 30, 2020; 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.