NPIMap

Individual provider Active NPI

Izabella Gurau, MD

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1821034885
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036120004 Issued in IL
Practice address
2222 W Division St Ste 210
Chicago, IL 60622-3094
Phone
(773) 484-4330
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036120004 IL Primary

Addresses

Primary practice location

2222 W Division St Ste 210
Chicago, IL 60622-3094

Mailing address

1S376 Summit Ave Ste 4C
Oakbrook Terrace, IL 60181-3966
Phone (630) 424-1122

Other identifiers 10

IdentifierTypeStateIssuer
220854OtherUTALTIUS
78625OtherUTPEHP
31-00068OtherUTUNITED HEALTHCARE
868697OtherUTDMBA
P00152442OtherPALMETTO GBA
870281028GU2OtherUTEMIA
P00610372OtherILRAILROAD MEDICARE
036120004MedicaidIL
107030130101OtherUTIHC
870281028000MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000457 IL Practitioner - Nephrology 9931182086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Medical Associates of Chicago LLCGroup PAC ID 3274537998, 3 clinicians

Practice addresses (Care Compare)

2222 W Division St
Suite 210
Chicago, IL 60622-3094
Phone (773) 227-2004

Hospital & facility affiliations

  • Sah Dialysis Clinic @26TH St Dialysis facility, Chicago, IL, CCN 142758
  • DaVita West Side Dialysis Dialysis facility, Chicago, IL, CCN 142783
  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095
  • Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
  • Humboldt Park Health Hospital, Chicago, IL, CCN 140206
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036120004ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Associates of Chicago LLC CurrentSince Aug 1, 2012 Accepting new patients
Lakeview Home Dialysis LLC Past Accepting new patients
Revere Health PC Past Accepting new patients
Optimum Kidney Care SC Nephrology Past Accepting new patients

Locations

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

2222 W Division St
Ste 210
Chicago, IL 60622
Phone (773) 227-2004

1S376 Summit Ave
Ste 4C
Oakbrook Terrace, IL 60181
Phone (630) 424-1122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11534/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1821034885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S376 SUMMIT AVE STE 4C",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813966",
            "telephone_number": "630-424-1122",
            "fax_number": "630-324-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223094",
            "telephone_number": "773-484-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURAU",
        "first_name": "IZABELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036120004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "220854",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "78625",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "31-00068",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "868697",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00152442",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMIA",
            "identifier": "870281028GU2",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00610372",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120004",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107030130101",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870281028000",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.