Individual provider Active NPI

Dimitra Skondra, MD

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1063652469
Registry record updated Feb 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036.133705 Issued in IL
Practice address
1969 W Ogden Ave
Clinic a
Chicago, IL 60612-3765
Phone
(312) 864-6000
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036.133705 IL Primary

Addresses

Primary practice location

1969 W Ogden Ave
Clinic a
Chicago, IL 60612-3765

Mailing address

1969 W Ogden Ave
Clinic a
Chicago, IL 60612-3765
Phone (312) 864-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131101000598 IL Practitioner - Ophthalmology 9638340136 Reassigns benefits to 4 organizations
I20260303002156 NY Practitioner - Ophthalmology 9638340136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.133705ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Sep 23, 2013 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2013 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2013 Accepting new patients
New York University CurrentSince Mar 1, 2026 Accepting new patients
New York University CurrentSince Mar 1, 2026 Accepting new patients
The University of Chicago Medical Center CurrentSince Apr 3, 2017 Accepting new patients
University of Chicago CurrentSince Oct 5, 2016 Accepting new patients
The University of Chicago Medical Center CurrentSince Apr 3, 2017 Accepting new patients
Cook County CurrentSince Sep 23, 2013 Accepting new patients
Cook County Current Accepting new patients
South Suburban Ear, Nose & Throat Assoc Inc Past Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Ophthalmology Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

Dept 5777
Carol Stream, IL 60122

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

1969 W Ogden Ave
#A
Chicago, IL 60612
Phone (312) 864-7900

680 N Lake Shore Dr
Ste 1015
Chicago, IL 60611
Phone (312) 926-9674

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

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

222 E 41st St
New York, NY 10017
Phone (212) 263-2573

Interoperability endpoints

  • Direct secure messaging: dskondra127364@uchospital.direct-ci.com

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 1

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": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393027200000",
    "number": "1063652469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 W OGDEN AVE",
            "address_2": "CLINIC A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123765",
            "telephone_number": "312-864-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 W OGDEN AVE",
            "address_2": "CLINIC A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123765",
            "telephone_number": "312-864-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKONDRA",
        "first_name": "DIMITRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2014-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.133705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.