NPIMap

Individual provider Active NPI

Karl Becker, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1114471745
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036149258 Issued in IL
Practice address
1855 W Taylor St
Chicago, IL 60612-7242
Phone
(312) 996-7774
NPI assigned
Aug 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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 036149258 IL Primary

Addresses

Primary practice location

1855 W Taylor St
Chicago, IL 60612-7242

Mailing address

1855 W Taylor St
Chicago, IL 60612-7242
Phone (312) 996-7774

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karl.becker@direct.ccprovider.org Direct Cook County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201023001755 IL Practitioner - Ophthalmology 4880011691 Reassigns benefits to 2 organizations
I20210519001479 CO Practitioner - Ophthalmology 4880011691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Lee MD PCGroup PAC ID 2264533892, 8 clinicians

Practice addresses (Care Compare)

9320 Grand Cordera Pkwy
Suite 255
Colorado Springs, CO 80924-7003
Phone (719) 258-1240

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

Merit-based Incentive Payment System (MIPS)

Final score
93.05 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
74.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036149258ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Lee MD PC Ophthalmology CurrentSince Oct 20, 2021 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Feb 18, 2021 Accepting new patients
Cook County CurrentSince Feb 18, 2021 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 1, 2020 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois Ophthalmology CurrentSince Mar 1, 2020 Accepting new patients

Locations

9320 Grand Cordera Pkwy
#25
Colorado Springs, CO 80924
Phone (719) 258-1240

1 Education Way
Colorado Springs, CO 80906
Phone (719) 258-1240

9320 Grand Cordera Pkwy
Ste 255
Colorado Springs, CO 80924
Phone (719) 258-1240

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

16420 W US Highway 24
Ste 140
Woodland Park, CO 80863

16420 W US Highway 24
Woodland Park, CO 80863
Phone (719) 632-5020

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

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

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

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

Interoperability endpoints

  • Direct secure messaging: karl.becker@direct.ccprovider.org

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 and National Provider Directory roles.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1114471745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127242",
            "telephone_number": "312-996-7774",
            "fax_number": "312-996-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127242",
            "telephone_number": "312-996-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036149258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karl.becker@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.