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DR. ANDRE BRISSETT MD
NPI 1154842441
Pediatrics - Pediatric Emergency Medicine in Oak Lawn, IL

Active since June 28, 2017PECOS Enrolled
4440 W 95TH ST, OAK LAWN, IL 60453(917) 941-1339 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, Aug 13, 2024, Jun 28, 2017 (3 updates tracked since 2017).

About Dr. Andre Brissett Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDRE BRISSETT MD (NPI 1154842441) is an individual pediatric emergency medicine provider in Oak Lawn, Illinois, licensed in Illinois (036170755) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154842441
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. ANDRE BRISSETTCredential: MD
Location Address4440 W 95TH STOak Lawn, IL 60453-2600
Mailing Address29373 Network PlChicago, IL 60673-2600 · (847) 390-5900
Phone(917) 941-1339
Sole ProprietorNo
Enumeration DateJune 28, 2017
Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1154842441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in IL · 036170755
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
4440 W 95TH ST, Oak Lawn, IL 60453
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andre Brissett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK ADRIAN FAASSE MD
Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-4557
DR. MANDY LUMA ENSHIWAT M.D.
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-8000
DR. KIM MARIE MIILLER MA, PSYD
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-7482
JENNIFER MARSIGLIO
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5425
TRACI LYNN TAGUE MA, CCC-SLP
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-1989
ELIZABETH A FOLLIARD OTR/L
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5369
MICHAEL CIRONE M.D.
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5375
ANNA MANILLA
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (248) 701-7523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Brissett's NPI number?

The NPI number for Andre Brissett is 1154842441. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Andre Brissett located?

Andre Brissett practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (917) 941-1339.

What is Andre Brissett's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Andre Brissett enrolled in Medicare?

Yes. Andre Brissett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andre Brissett was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.