DR. BRIAN ALEXANDER NORDSTROM (MD) – Anesthesiology Physician, NPI 1770143687

DR. BRIAN ALEXANDER NORDSTROM (MD) is a healthcare provider. based in Chicago, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 125074696 (IL). The NPI Number for DR. BRIAN ALEXANDER NORDSTROM (MD) is 1770143687

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN ALEXANDER NORDSTROM (MD)
NPI
1770143687
Phone
(312) 864-6000
Address
1901 W HARRISON ST
Enumeration Date
13 June 2019
Last Update Date
13 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5305413420
Graduation Year
2019 (7 years ago)
PAC ID
9335596246
Group Practice PAC ID
5698748663
Professional Enrollment ID
I20240913001110
Address ID
CA961507026SO2170XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

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Provider Addresses for DR. BRIAN ALEXANDER NORDSTROM (MD)

  • Fantus Health Center, 1901, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606123714

    Phone: (312) 864-6000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($35).

Total Amount

$74

General + Research + Ownership

Payments

3

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240913001110IAnesthesiologyCATBD
I20250203002583IAnesthesiologyNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698748663View full group profile
NameSpecialtyState
Anesthesiology, Internal MedicineOR
Anesthesiology, Interventional Pain ManagementCA
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YSC
A N E S T H E S I O L O G YNV
Anesthesiology, Interventional Pain ManagementCA

Reviews

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Frequently asked questions

What federal number belongs to DR. BRIAN ALEXANDER NORDSTROM (MD)?
The federal identifier for DR. BRIAN ALEXANDER NORDSTROM (MD) is NPI 1770143687.
Is DR. BRIAN ALEXANDER NORDSTROM (MD) active in the national directory?
DR. BRIAN ALEXANDER NORDSTROM (MD)'s public NPI profile is in an active state.
Does DR. BRIAN ALEXANDER NORDSTROM (MD) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for DR. BRIAN ALEXANDER NORDSTROM (MD). Clinical services aligned with this taxonomy classification.
Where is DR. BRIAN ALEXANDER NORDSTROM (MD)'s primary listing?
We display Chicago, Illinois because that is what the record indicates for DR. BRIAN ALEXANDER NORDSTROM (MD).
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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