Active NPI
Andree C. De Bustros, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Chicago, IL
National Provider Identifier
1932108545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036081805
- Practice address
- 5525 S Pulaski Rd
Chicago, IL 60629 - Phone
- (312) 567-7500
- NPI assigned
- Jul 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036081805 | IL | Primary |
Addresses
Primary practice location
5525 S Pulaski Rd
Chicago, IL 60629
Mailing address
5525 S Pulaski Rd
Chicago, IL 60629-4400
Phone (312) 567-7500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL3323019 | Other | IL | MEDICARE PTAN |
| 036081805 | Medicaid | IL | |
| 326170152 | Other | IL | TAX ID |
| 01621253 | Other | IL | BLUE SHIELD NUMBER |
Other names 1
- Dr. Andree C. Chiniara
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036081805 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1932108545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 S PULASKI RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606294400",
"telephone_number": "312-567-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 S PULASKI RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60629",
"telephone_number": "312-567-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE BUSTROS",
"first_name": "ANDREE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036081805",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IL3323019",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036081805",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "326170152",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NUMBER",
"identifier": "01621253",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREE",
"last_name": "CHINIARA",
"middle_name": "C.",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.