Individual provider Active NPI

Fernando M Striedinger, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1851483119
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036090741 Issued in IL
Practice address
4733 N Damen Ave
Chicago, IL 60625-1442
Phone
(773) 878-6060
Fax
(773) 878-7858
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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 036090741 IL Primary

Addresses

Primary practice location

4733 N Damen Ave
Chicago, IL 60625-1442

Mailing address

4733 N Damen Ave
Chicago, IL 60625-1442
Phone (773) 878-6060

Other identifiers 2

IdentifierTypeStateIssuer
4932289OtherILPROVIDER
200752418MedicaidIL

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
I20040604000509 IL Practitioner - Internal Medicine 6901887447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4733 N Damen Ave
Chicago, IL 60625-1442
Phone (773) 878-4700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Striedinger Medical Group SC Internal Medicine CurrentSince Mar 1, 2004 Accepting new patients

Locations

4733 N Damen Ave
Chicago, IL 60625
Phone (773) 871-2250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8541/brand/1/csg/1/fhir/r4
  • Direct secure messaging: fernando.striedinger.1@8541.direct.athenahealth.com

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.

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1851483119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251442",
            "telephone_number": "773-878-6060",
            "fax_number": "773-878-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251442",
            "telephone_number": "773-878-6060",
            "fax_number": "773-878-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIEDINGER",
        "first_name": "FERNANDO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036090741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "4932289",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200752418",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.