Alexandra Albanese
Individual provider Active NPI Family Medicine Physician · Chicago, IL
NPI 1962891606 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1962891606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036-147646 (IL)
- Practice address
- 820 S Wood St
Suite 100 CSN
Chicago, IL 60612-4325 - Phone
- (312) 996-2933
- NPI assigned
- Jan 19, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 32
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Northwestern University Feinberg Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cook County
Practice addresses (Care Compare)
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292
Hospital & facility affiliations
- John H Stroger Jr Hospital
- Provident Hospital of Chicago
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.11 of 100
- Quality
- 74.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 85.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190711000177 | IL | Practitioner - Family Practice | 7618263716 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-147646 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Family Medicine | Current |
Accepting new patients |
| Cook County | Current |
Accepting new patients | |
| Cook County | Current | Accepting new patients |
Locations
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-147646 | IL | Yes |
Addresses
Primary practice location
820 S Wood St
Suite 100 CSN
Chicago, IL 60612-4325
Mailing address
820 S Wood St
Suite 100 CSN
Chicago, IL 60612-4325
Phone (312) 996-2933
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alexandra.albanese@direct.ccprovider.org | Direct | Cook County |
Other providers in Chicago, IL
- Omar Ivan Alba Valdez
- Stephanie Alba
- Margaux Albair
- Saeed Salem Albalawi
- Juan P Alban
- Galen Albano
- Said Albareedi
- Victoria Albarracin
- Daniel Arturo Albarran Rivera
- Tamer Ahmad Khalaf Albataineh
All providers in Chicago, IL · Family Medicine 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 Apr 21, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.