Individual provider Active NPI

Pablo Arnecilla, M.D.

  • Pediatrics Physician
  • Oak Brook, IL
National Provider Identifier
1841237401
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036051583 Issued in IL
Practice address
900 Jorie Blvd
Suite 186
Oak Brook, IL 60523-2213
Phone
(630) 954-6700
Fax
(630) 954-1555
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036051583 IL Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 036-051583 IL

Addresses

Primary practice location

900 Jorie Blvd
Suite 186
Oak Brook, IL 60523-2213

Mailing address

900 Jorie Blvd
Suite 186
Oak Brook, IL 60523-2213
Phone (630) 954-6700

Other identifiers 1

IdentifierTypeStateIssuer
036051583MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036051583ILMDPediatrics Physician
036-051583ILMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Neoped Associates LTD PastSince Jun 28, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1841237401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JORIE BLVD",
            "address_2": "SUITE 186",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232213",
            "telephone_number": "630-954-6700",
            "fax_number": "630-954-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JORIE BLVD",
            "address_2": "SUITE 186",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232213",
            "telephone_number": "630-954-6700",
            "fax_number": "630-954-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNECILLA",
        "first_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036051583",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036-051583",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051583",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.