Active NPI
Nadia Abu-Nijmeh, M.D.
- Pediatrics Physician
- Aurora, IL
National Provider Identifier
1972554533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036085712
- Practice address
- 2121 Ridge Ave
Suite 101
Aurora, IL 60504-7000 - Phone
- (630) 820-7100
- Fax
- (630) 264-2524
- NPI assigned
- May 16, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036085712 | IL | Primary |
Addresses
Primary practice location
2121 Ridge Ave
Suite 101
Aurora, IL 60504-7000
Mailing address
1256 Waterford Dr Ste 230
Aurora, IL 60504-4511
Phone (630) 499-2404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03608517123 | Medicaid | IL |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036085712 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Copley Medical Group | Past | Accepting new patients | |
| Rush University Medical Group | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- nabunijmeh151416@direct.rush.rush-health.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Aurora, IL
- NPI 1194836247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1972554533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 WATERFORD DR STE 230",
"city": "AURORA",
"state": "IL",
"postal_code": "605044511",
"telephone_number": "630-499-2404",
"fax_number": "630-692-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 RIDGE AVE",
"address_2": "SUITE 101",
"city": "AURORA",
"state": "IL",
"postal_code": "605047000",
"telephone_number": "630-820-7100",
"fax_number": "630-264-2524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABU-NIJMEH",
"first_name": "NADIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036085712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03608517123",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.