JUSTIN RYAN GAVINO ANDRADA D.O.
NPI 1447826573
Family Medicine in Evanston, IL

Q: What is Justin Ryan Andrada's NPI number?

The NPI number for Justin Ryan Andrada is 1447826573. It was assigned to this individual provider in the NPPES registry on May 30, 2021.

Q: What is Justin Ryan Andrada's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 30, 2021PECOS EnrolledAccepts Medicare Assignment

1007 CHURCH ST STE 100, EVANSTON, IL 60201(847) 475-4555(847) 866-6035 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2025, May 30, 2021 (2 updates tracked since 2021).

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About Justin Ryan Gavino Andrada D.o. NPPES

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

JUSTIN RYAN GAVINO ANDRADA D.O. (NPI 1447826573) is an individual family medicine provider in Evanston, Illinois, licensed in Illinois (036177051) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1447826573

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJUSTIN RYAN GAVINO ANDRADACredential: D.O.

Location Address1007 CHURCH ST STE 100Evanston, IL 60201-5910

Mailing Address1007 Church St Ste 100Evanston, IL 60201-5910 · (847) 475-4555 · Fax (847) 475-0154

Phone(847) 475-4555

Fax(847) 866-6035

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 30, 2021

Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2026

✔ NPI 1447826573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036177051

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1007 CHURCH ST STE 100, Evanston, IL 60201

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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 and accepts Medicare assignment

Justin Ryan Gavino Andrada D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648774828

PECOS Enrollment IDI20250919001835

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

SAMEER JAIN M.D.

Family Medicine

1007 CHURCH ST STE 100
EVANSTON, IL 60201

Cook County (847) 475-4555

DIANA RAICHICI FNP-C

Nurse Practitioner

1007 CHURCH ST STE 100
EVANSTON, IL 60201

Cook County (815) 995-2776

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 Justin Ryan Andrada's NPI number?

The NPI number for Justin Ryan Andrada is 1447826573. It was assigned to this individual provider in the NPPES registry on May 30, 2021.

Where is Justin Ryan Andrada located?

Justin Ryan Andrada practices at 1007 Church St Ste 100, Evanston, IL 60201. The listed phone number is (847) 475-4555.

What is Justin Ryan Andrada's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Justin Ryan Andrada enrolled in Medicare?

Yes. Justin Ryan Andrada is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Justin Ryan Andrada affiliated with any hospitals?

According to CMS data, Justin Ryan Andrada is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Justin Ryan Andrada was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.