Individual provider Active NPI

Michael J Karasis, M.D.

  • Urology Physician
  • Woodstock, IL
National Provider Identifier
1003990953
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
36051379 Issued in IL
Practice address
526 W South St
Woodstock, IL 60098-3749
Phone
(815) 338-3200
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 36051379 IL Primary

Addresses

Primary practice location

526 W South St
Woodstock, IL 60098-3749

Mailing address

526 W South St
Woodstock, IL 60098-3749
Phone (815) 338-3200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michaelkarasis@siusm.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000175 IL Practitioner - Urology 5193748408 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Loyola University of Chicago, Stritch School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 E Lake Shore Dr
Lowr Level
Decatur, IL 62521-3810
Phone (217) 254-1960

Hospital & facility affiliations

  • Hillsboro Area Hospital Hospital, Hillsboro, IL, CCN 141332
  • St Marys Hospital Hospital, Decatur, IL, CCN 140166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36051379ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsboro Area Hospital, Inc. CurrentSince Feb 4, 2024 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
United Shockwave Services, LTD. Urology CurrentSince Jan 1, 1988 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jun 6, 2016 Accepting new patients
Hillsboro Area Hospital, Inc. CurrentSince Feb 4, 2024 Accepting new patients
Carle Health Care Incorporated CurrentSince Sep 5, 2023 Accepting new patients
Hillsboro Area Hospital, Inc. Current Accepting new patients
United Shockwave Services, LTD. CurrentSince Jan 1, 1988 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 15, 2023 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Jun 6, 2016 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1750 E Lake Shore Dr
Ste 120
Decatur, IL 62521
Phone (217) 424-9193

1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154

815 Main St
Ste A1
Peoria, IL 61602

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

319 E Madison St
Springfield, IL 62701
Phone (217) 545-7627

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1003990953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W SOUTH ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983749",
            "telephone_number": "815-338-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W SOUTH ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983749",
            "telephone_number": "815-338-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARASIS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "36051379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelkarasis@siusm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "319 E Madison St",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627011035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

Verify at the official NPI Registry.