Active NPI
Alexandra Hua, MD, MPH
- Allergy & Immunology Physician
- Chicago, IL
National Provider Identifier
1740858984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 036.170182
- Practice address
- 240 East Huron St.
McGaw M309
Chicago, IL 60611 - Phone
- (312) 503-0075
- NPI assigned
- Jun 15, 2021
- Last updated
- Jul 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351047466 | MI | |
| Allergy & Immunology Physician | 207K00000X | 036.170182 | IL | Primary |
Addresses
Primary practice location
240 East Huron St.
McGaw M309
Chicago, IL 60611
Mailing address
240 East Huron St.
McGaw M309
Chicago, IL 60611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210726001462 | MI | Order and Referring Only - Internal Medicine | 4183027345 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.170182 | IL | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1740858984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 EAST HURON ST.",
"address_2": "MCGAW M309",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 EAST HURON ST.",
"address_2": "MCGAW M309",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-503-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUA",
"first_name": "ALEXANDRA",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2024-07-09",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4351047466",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": "036.170182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.