Individual provider Active NPI

Amberly K Wolber, MD

  • Urology Physician
  • Lake Barrington, IL
National Provider Identifier
1801090220
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036.169412 Issued in IL
Practice address
22285 N Pepper Rd Ste 201
Lake Barrington, IL 60010-2540
Phone
(847) 382-5080
Fax
(847) 382-0923
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 41104 KY
Urology Physician 208800000X 2013-01108 NC
Urology Physician 208800000X ME152478 FL
Urology Physician 208800000X 036.169412 IL Primary

Addresses

Primary practice location

22285 N Pepper Rd Ste 201
Lake Barrington, IL 60010-2540

Mailing address

22285 N Pepper Rd Ste 201
Lake Barrington, IL 60010-2540
Phone (847) 382-5080

Other practice location 1

211 Fountain Ct
Ste 230
Lexington, KY 40509-1888
Phone (859) 629-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210924001151 FL Practitioner - Urology 1355442096 Reassigns benefits to 1 organization
I20240627002680 IL Practitioner - Urology 1355442096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Kansas School of Med (KC/Wich/Sal), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Urologic Care S CGroup PAC ID 4486553369, 15 clinicians

Practice addresses (Care Compare)

22285 N Pepper Rd
Suite 201
Lake Barrington, IL 60010-2540
Phone (847) 382-5080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME152478FLMDUrology Physician
036.169412ILMDUrology Physician
41104KYMDUrology Physician
2013-01108NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Jacksonville CurrentSince Aug 19, 2021 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Comprehensive Urologic Care S C Urology CurrentSince Jul 1, 2024 Accepting new patients
Mayo Clinic Jacksonville CurrentSince Aug 19, 2021 Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Northwest Pulmonary and Sleep Medicine SC PastSince Apr 1, 2010 Accepting new patients

Locations

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

360 Station Dr
Ste 110
Crystal Lake, IL 60014
Phone (815) 477-2136

360 Station Dr
Ste 230
Crystal Lake, IL 60014
Phone (815) 477-7350

1600 N Randall Rd
Ste 201
Elgin, IL 60123
Phone (847) 382-5080

1585 N Barrington Rd
Ste 206
Hoffman Estates, IL 60169
Phone (847) 382-5080

22285 N Pepper Rd
Ste 201
Lake Barrington, IL 60010
Phone (847) 382-5080

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHEBA
  • Direct secure messaging: amberlywindisch@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: awolber1598676@ehrdirect.mayoclinicmsg.org

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.

Hospital & facility affiliations 7

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1801090220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 201",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102540",
            "telephone_number": "847-382-5080",
            "fax_number": "847-382-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD STE 201",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102540",
            "telephone_number": "847-382-5080",
            "fax_number": "847-382-0923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Fountain Ct",
            "address_2": "Ste 230",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091888",
            "country_code": "US",
            "telephone_number": "859-629-7200",
            "fax_number": "859-629-7212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLBER",
        "first_name": "AMBERLY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "41104",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2013-01108",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME152478",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036.169412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Barrington, IL

Sources for this page

Verify at the official NPI Registry.