Active NPI
Nidal Elbaridi, M.D.
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 036134543
- Practice address
- 1921 S Michigan Ave
Chicago, IL 60616-1603 - Phone
- (312) 414-1088
- Fax
- (312) 920-1799
- NPI assigned
- Jan 20, 2009
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036134543 | IL | |
| Anesthesiology Physician | 207L00000X | 261710 | MA | |
| Anesthesiology Physician | 207L00000X | 66155-20 | WI | |
| Physical Therapist | 225100000X | 05005794A | IN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036134543 | IL | Primary |
Addresses
Primary practice location
1921 S Michigan Ave
Chicago, IL 60616-1603
Mailing address
1921 S Michigan Ave
Chicago, IL 60616-1603
Phone (312) 414-1088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036134543 | Medicaid | IL |
Other names 1
- Dr. Nick Elbaridi
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
- Pain Management
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1921 S Michigan Ave
Chicago, IL 60616-1603
Phone (312) 414-1088
2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (708) 382-1498
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 76 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261710 | MA | MD | Anesthesiology Physician |
| 66155-20 | WI | MD | Anesthesiology Physician |
| 05005794A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Chicago, Inc. | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc | Current | Accepting new patients | |
| Professional Anesthesiology Interventional Network, Inc | Anesthesiology | Current | Accepting new patients |
| Insight Chicago, Inc. | Anesthesiology | Current | Accepting new patients |
| Swedish Covenant Management Services, Inc. | Current | Accepting new patients | |
| Indy Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
| Indy Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
1921 S Michigan Ave
Chicago, IL 60616
Phone (312) 328-9220
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1821548215
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
-
- Physical Therapist
- Indianapolis, IN
- NPI 1902893621
-
- Rehabilitation Hospital Unit
- Chicago, IL
- NPI 1154308518
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
-
- Physical Therapist
- Indianapolis, IN
- NPI 1538211578
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1730166224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1780821264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606161603",
"telephone_number": "312-414-1088",
"fax_number": "312-920-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606161603",
"telephone_number": "312-414-1088",
"fax_number": "312-920-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELBARIDI",
"first_name": "NIDAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-20",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036134543",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "261710",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "66155-20",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05005794A",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036134543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036134543",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICK",
"last_name": "ELBARIDI",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jan 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; 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.