Active NPI
Ivan Jose Cuesta Isabel, MD
- Neurology Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036156358
- Practice address
- 1775 Dempster St Ste Aip
Park Ridge, IL 60068-1143 - Phone
- (847) 723-6790
- Fax
- (847) 723-6799
- NPI assigned
- Jul 20, 2015
- Last updated
- Oct 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2026-01650 | NC | |
| Neurology Physician | 2084N0400X | MD.70112841 | WA | |
| Neurology Physician | 2084N0400X | 036156358 | IL | Primary |
| Neurology Physician | 2084N0400X | MD230894 | OR | |
| General Practice Physician | 208D00000X | MT209694 | PA |
Addresses
Primary practice location
1775 Dempster St Ste Aip
Park Ridge, IL 60068-1143
Mailing address
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-5734
Other practice location 1
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-6166
Other practice location 2
4400 W 95th St Ste 407
Oak Lawn, IL 60453-2654
Phone (708) 684-4029
Other practice location 3
200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9437
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | icuestaisabel310029@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 800-4111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT209694 | PA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCH Professional Corporation | Neurology | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Genesis Critical Care Associates, LLC | Current | Accepting new patients |
Locations
21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210
5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166
28592 Network Pl
Chicago, IL 60673
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000
1775 Dempster St
Ste Aip
Park Ridge, IL 60068
Phone (708) 283-5500
820 Evergreen Ave
Pittsburgh, PA 15209
Phone (412) 822-7290
Interoperability endpoints
- iisabelm@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Delray Beach, FL
- NPI 1689055782
-
dba Advocate Intensivist Partners
- Critical Care Medicine (Internal Medicine) Physician
- Oak Lawn, IL
- NPI 1629441027
-
dba Invision Health
- Neurological Surgery Physician
- West Palm Beach, FL
- NPI 1134728561
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Delray Medical Center
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
-
dba Good Samaritan Medical Center
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
dba West Boca Medical Center
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1588697296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1851775860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "215-707-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 DEMPSTER ST STE AIP",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681143",
"telephone_number": "847-723-6790",
"fax_number": "847-723-6799"
}
],
"practiceLocations": [
{
"address_1": "2801 N Gantenbein Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271623",
"country_code": "US",
"telephone_number": "503-413-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4400 W 95th St Ste 407",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532654",
"country_code": "US",
"telephone_number": "708-684-4029",
"fax_number": "708-684-4033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hawthorne Ln",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042515",
"country_code": "US",
"telephone_number": "704-384-9437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUESTA ISABEL",
"first_name": "IVAN",
"middle_name": "JOSE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-20",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2026-01650",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD.70112841",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036156358",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "MD230894",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MT209694",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "icuestaisabel310029@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4400 W 95th St Ste 407",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532654",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4400 W 95th St Ste 407",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532654",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.