Individual provider Active NPI

Dercy J Aranador, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1922045376
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036049190 Issued in IL
Practice address
2913 N Commonwealth Ave FL 5
Chicago, IL 60657-6211
Phone
(773) 665-3124
Fax
(773) 665-3408
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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 036049190 IL Primary

Addresses

Primary practice location

2913 N Commonwealth Ave FL 5
Chicago, IL 60657-6211

Mailing address

2913 N Commonwealth Ave FL 5
Chicago, IL 60657-6211
Phone (773) 665-3124

Other identifiers 1

IdentifierTypeStateIssuer
036049190MedicaidIL

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
I20090121000500 IL Practitioner - Internal Medicine 9133283054 Practice locations: Chicago, IL

National Provider Directory

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

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": "1321401600000",
    "number": "1922045376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 N COMMONWEALTH AVE FL 5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576211",
            "telephone_number": "773-665-3124",
            "fax_number": "773-665-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 N COMMONWEALTH AVE FL 5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576211",
            "telephone_number": "773-665-3124",
            "fax_number": "773-665-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANADOR",
        "first_name": "DERCY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036049190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049190",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.