Active NPI
Hristo D Hristov, MD
- Internal Medicine Physician
- Harvard, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036121140
- Practice address
- 901 Grant St
Harvard, IL 60033 - Phone
- (815) 943-5431
- Fax
- (815) 943-0659
- NPI assigned
- Jan 13, 2008
- Last updated
- Apr 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036121140 | IL | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 57295 | AZ | |
| Pulmonary Disease Physician | 207RP1001X | 57295 | AZ | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 57295 | AZ |
Addresses
Primary practice location
901 Grant St
Harvard, IL 60033
Mailing address
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Other practice location 1
875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500
Other practice location 2
2000 Lake Ave
Woodstock, IL 60098-7401
Phone (815) 337-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 449743 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57295 | AZ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Community First Healthcare of Illinois, Inc. | Internal Medicine | Current | Accepting new patients |
| Midwest Pulmonary Associates S.C. | Internal Medicine | Past | Accepting new patients |
| Your Health and Wellness PLLC | Past | Accepting new patients |
Locations
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
5645 W Addison St
Ste 301
Chicago, IL 60634
Phone (773) 736-4553
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
901 Grant St
Harvard, IL 60033
Phone (815) 943-2961
2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116
Interoperability endpoints
- hhristov233588@direct.valleywisehealth.org
- hhristov95753@direct.mhemail.org
- https://api.platform.athenahealth.com/27169/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
IL
-
dba Community First Emergency Medicine Group
- Emergency Medicine Physician
- Chicago, IL
- NPI 1881059897
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
dba Community First Medical Center Radiology
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1053102269
-
dba Community First Medical Group
- Internal Medicine Physician
- Chicago, IL
- NPI 1962894675
-
dba Mercy Harvard Care Center
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1093948275
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Internal Medicine Physician
- Lombard, IL
- NPI 1790743417
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1992476543
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercyhealth Hospital and Physician Clinic-Crystal Lake
- General Acute Care Hospital
- Crystal Lake, IL
- NPI 1023754371
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
dba Mercy Hospital Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1114103892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 GRANT ST",
"city": "HARVARD",
"state": "IL",
"postal_code": "600331821",
"telephone_number": "815-943-5431",
"fax_number": "815-943-0659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 GRANT ST",
"city": "HARVARD",
"state": "IL",
"postal_code": "60033",
"telephone_number": "815-943-5431",
"fax_number": "815-943-0659"
}
],
"practiceLocations": [
{
"address_1": "875 S Route 31",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600148190",
"country_code": "US",
"telephone_number": "779-220-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Lake Ave",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "IL",
"postal_code": "600987401",
"country_code": "US",
"telephone_number": "815-337-7100",
"fax_number": "815-337-4793",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HRISTOV",
"first_name": "HRISTO",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-13",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036121140",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AZ",
"license": "57295",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AZ",
"license": "57295",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "AZ",
"license": "57295",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "449743",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harvard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.