Active NPI
James Pride, M.D.
- Internal Medicine Physician
- Arlington Heights, IL
National Provider Identifier
1831138528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036057464
- Practice address
- 3405 N Arlington Heights Rd
Arlington Heights, IL 60004-1536 - Phone
- (847) 398-0063
- Fax
- (847) 577-9318
- NPI assigned
- Jun 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036057464 | IL | Primary |
Addresses
Primary practice location
3405 N Arlington Heights Rd
Arlington Heights, IL 60004-1536
Mailing address
3405 N Arlington Heights Rd
Arlington Heights, IL 60004-1536
Phone (847) 398-0063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036057464 | Medicaid | IL |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.23 of 100
- Quality
- 100
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036057464 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical, S.C. | Internal Medicine | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
3405 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 577-9300
3405 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (312) 577-9300
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Arlington Heights, IL
- NPI 1295918795
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1831138528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 N ARLINGTON HEIGHTS RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600041536",
"telephone_number": "847-398-0063",
"fax_number": "847-577-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 N ARLINGTON HEIGHTS RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600041536",
"telephone_number": "847-398-0063",
"fax_number": "847-577-9318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIDE",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036057464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036057464",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.