Individual provider Active NPI

Carole P. Prete, MD

  • Internal Medicine Physician
  • Winnetka, IL
National Provider Identifier
1831258391
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-092888 Issued in IL
Practice address
530 Winnetka Ave
Winnetka, IL 60093-4023
Phone
(847) 441-6867
Fax
(847) 441-6895
NPI assigned
Dec 8, 2006
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-092888 IL Primary

Addresses

Primary practice location

530 Winnetka Ave
Winnetka, IL 60093-4023

Mailing address

530 Winnetka Ave
Winnetka, IL 60093-4023
Phone (847) 441-6869

Other practice location 1

1007 Church St
Suite 100
Evanston, IL 60201-3624
Phone (847) 475-4555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cprete7766@direct.northshore.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000064 IL Practitioner - Internal Medicine 5698707404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

530 Winnetka Ave
Winnetka, IL 60093-4023
Phone (847) 441-6867

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-092888ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Apr 1, 1997 Accepting new patients
Eleanor Smith MD Internal Medicine Current Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Apr 1, 1997 Accepting new patients
David R Donnersberger MD SC Internal Medicine Current Accepting new patients
Claire Kenneally, LTD Internal Medicine Current Accepting new patients
Carole P Prete MD PLLC Internal Medicine CurrentSince Jan 2, 2023 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

1007 Church St
Ste 100
Evanston, IL 60201
Phone (847) 475-4555

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

530 Winnetka Ave
Winnetka, IL 60093
Phone (847) 441-6869

Interoperability endpoints

  • Direct secure messaging: cprete7766@direct.northshore.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1831258391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WINNETKA AVE",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934023",
            "telephone_number": "847-441-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WINNETKA AVE",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934023",
            "telephone_number": "847-441-6867",
            "fax_number": "847-441-6895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Church St",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013624",
            "country_code": "US",
            "telephone_number": "847-475-4555",
            "fax_number": "847-475-0154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRETE",
        "first_name": "CAROLE",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-092888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cprete7766@direct.northshore.org",
            "affiliation": "N",
            "address_1": "1007 Church St",
            "address_2": "SUITE 100",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602013624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winnetka, IL

Sources for this page

Verify at the official NPI Registry.