Individual provider Active NPI

Ernest C Cabrera, MD

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1851340855
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036099643 Issued in IL
Practice address
2222 W Division St Ste 260
Chicago, IL 60622-2990
Phone
(872) 208-7619
Fax
(773) 483-2200
NPI assigned
May 8, 2006
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 036099643 IL Primary

Addresses

Primary practice location

2222 W Division St Ste 260
Chicago, IL 60622-2990

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000

Other practice location 1

1431 n western avenue
ste 202
chicago, IL 60622-1797
Phone (773) 489-6605

Other identifiers 1

IdentifierTypeStateIssuer
036099643MedicaidIL

Other names 1

  • Dr. Ernest C Cabrera Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL credentialing@nephdocs.com Direct

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
I20040401000378 IL Practitioner - NephrologyPractitioner - Internal Medicine 5294727095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2222 W Division St
Suite 260
Chicago, IL 60622-2990
Phone (708) 252-5809

800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Illinois, LTD. Nephrology CurrentSince Aug 1, 2021 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. Nephrology Past Accepting new patients
Ernesto Cabrera MD Nephrology PastSince Jan 1, 2005 Accepting new patients

Locations

3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884

8012 S Crandon Ave
Chicago, IL 60617
Phone (773) 356-5000

2222 W Division St
Ste 260
Chicago, IL 60622
Phone (708) 252-5809

1431 N Western Ave
Ste 202
Chicago, IL 60622
Phone (773) 276-2272

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

120 W 22nd St
Oak Brook, IL 60523

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

Interoperability endpoints

  • Direct secure messaging: ecabrera49692@direct.acumenmd.com

Organizations & group practices 3

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 6

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1851340855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000",
            "fax_number": "312-633-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST STE 260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222990",
            "telephone_number": "872-208-7619",
            "fax_number": "773-483-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 n western avenue",
            "address_2": "ste 202",
            "address_purpose": "LOCATION",
            "city": "chicago",
            "state": "IL",
            "postal_code": "606221797",
            "country_code": "US",
            "telephone_number": "773-489-6605",
            "fax_number": "872-829-3663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "ERNEST",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036099643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099643",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1431 n western avenue",
            "address_2": "ste 202",
            "city": "chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606221797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERNEST",
            "last_name": "CABRERA",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.