NPIMap

Individual provider Active NPI

Paul Owen Phelps, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Chicago, IL
National Provider Identifier
1003131657
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
036.131388 Issued in IL
Practice address
2001 N Halsted St Ste 200
Chicago, IL 60614-4365
Phone
(312) 888-5754
Fax
(312) 883-9976
NPI assigned
Apr 6, 2010
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 036.131388 IL Primary

Addresses

Primary practice location

2001 N Halsted St Ste 200
Chicago, IL 60614-4365

Mailing address

2001 N Halsted St Ste 200
Chicago, IL 60614-4365
Phone (312) 888-5754

Other practice location 1

2001 N Halsted St Ste 200
Chicago, IL 60614-4365
Phone (312) 888-5754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131023002220 IL Practitioner - Ophthalmology 3678708864 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 N Halsted St
Suite 200
Chicago, IL 60614-4365
Phone (312) 888-5754

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.131388ILMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Jun 12, 2013 Accepting new patients
Chicago Oculofacial Plastic Surgery, S.C. Ophthalmic Plastic and Reconstructive Surgery CurrentSince Apr 13, 2021 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Jun 12, 2013 Accepting new patients
Glaucoma Consultants of the Capital Region,PLLC Ophthalmic Plastic and Reconstructive Surgery Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Locations

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

2001 N Halsted St
Ste 200
Chicago, IL 60614
Phone (312) 888-5754

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24139/brand/1/csg/1/fhir/r4
  • Direct secure messaging: paul.phelps.1@24139.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1003131657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N HALSTED ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144365",
            "telephone_number": "312-888-5754",
            "fax_number": "312-883-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N HALSTED ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144365",
            "telephone_number": "312-888-5754",
            "fax_number": "312-883-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N Halsted St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606144365",
            "country_code": "US",
            "telephone_number": "312-888-5754",
            "fax_number": "312-883-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "PAUL",
        "middle_name": "OWEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036.131388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.