Individual provider Active NPI

Voula Asimacopoulos, MD

  • Internal Medicine Physician
  • Park Ridge, IL
National Provider Identifier
1114920824
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036083859 Issued in IL
Practice address
205 S Northwest Hwy
Park Ridge, IL 60068-5802
Phone
(847) 292-5200
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036083859 IL Primary

Addresses

Primary practice location

205 S Northwest Hwy
Park Ridge, IL 60068-5802

Mailing address

1435 Waukegan Rd
Glenview, IL 60025-2120
Phone (847) 832-6500

Other practice location 1

1435 Waukegan Rd
Glenview, IL 60025-2120
Phone (847) 832-6500

Other identifiers 1

IdentifierTypeStateIssuer
036083859MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vasimacopoulos15928@ce-direct.presencehealth.org

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
I20100116000018 IL Practitioner - Internal Medicine 6901948710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1435 Waukegan Rd
Glenview, IL 60025-2120
Phone (847) 832-6500

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jul 14, 2023 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

1435 Waukegan Rd
Glenview, IL 60025
Phone (847) 832-6500

Interoperability endpoints

  • Direct secure messaging: vasimacopoulos15928@ce-direct.presencehealth.org

Organizations & group practices 2

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 5

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1114920824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252120",
            "telephone_number": "847-832-6500",
            "fax_number": "847-832-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685802",
            "telephone_number": "847-292-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600252120",
            "country_code": "US",
            "telephone_number": "847-832-6500",
            "fax_number": "847-832-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASIMACOPOULOS",
        "first_name": "VOULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036083859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083859",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vasimacopoulos15928@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "205 S Northwest Hwy",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600685802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.