Nelcar Gadrinab, MD – Urology Physician

Key facts

NPI: 1922046358
Entity type: Individual (NPI type 1)
Primary specialty: Urology Physician 208800000X
License: 036046459 (IL)
Practice address: 2315 E 93Rd St
Suite 416
Chicago, IL 60617-3936
Phone: (773) 768-5770
Fax: (773) 768-0702
NPI assigned: Jun 4, 2006
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Urology Physician	208800000X	036046459	IL	Yes

Addresses

Primary practice location

2315 E 93Rd St
Suite 416
Chicago, IL 60617-3936

Mailing address

2315 E 93Rd St
Suite 416
Chicago, IL 60617-3936
Phone (773) 768-5770

Other identifiers

Identifier	Type	State	Issuer
036046459	Medicaid	IL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 3, 2012.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1922046358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "SUITE 416",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-768-5770",
            "fax_number": "773-768-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "SUITE 416",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-768-5770",
            "fax_number": "773-768-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADRINAB",
        "first_name": "NELCAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036046459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046459",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

All providers in Chicago, IL · Urology Physician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.