Individual provider Active NPI

Amy Arialis, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1952643694
Registry record updated Mar 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125063709 Issued in IL
Practice address
2314 W Shakespeare Ave Unit 2
Chicago, IL 60647-3219
Phone
(312) 996-2901
NPI assigned
Mar 20, 2013
Last updated
Mar 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125063709 IL Primary

Addresses

Primary practice location

2314 W Shakespeare Ave Unit 2
Chicago, IL 60647-3219

Mailing address

2314 W Shakespeare Ave Unit 2
Chicago, IL 60647-3219
Phone (312) 996-2901

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
I20170105002320 IL Practitioner - Family Practice 5991015000 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Dec 15, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Family Medicine CurrentSince Dec 15, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients

Locations

1919 W Taylor St
#663
Chicago, IL 60612
Phone (312) 996-0750

722 W Maxwell St
#235
Chicago, IL 60607
Phone (312) 433-4114

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

Interoperability endpoints

  • Direct secure messaging: amy.arialis.1@3547.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393632000000",
    "number": "1952643694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 W SHAKESPEARE AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473219",
            "telephone_number": "312-996-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 W SHAKESPEARE AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473219",
            "telephone_number": "312-996-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIALIS",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2014-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125063709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.