University Medicine and Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036114665 Issued in IL

Legal business name

UNIVERSITY MEDICINE AND CARDIOLOGY

Practice address

8110 S Cass Ave
Darien, IL 60561-5013

Phone

(630) 963-4000

Fax

(630) 214-5778

NPI assigned

Apr 15, 2010

Organization subpart

No

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

Authorized official

Name

Stamatis Dimitropoulos, M.D.NPI 1417122599

Title

President

Phone

(847) 630-4129

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9V4jT5mKo7NZgJpxVx0fBwOkw7fWIJBf/

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stamatis Dimitropoulos, M.D.

  • Internal Medicine Physician
  • Darien, IL
  • NPI 1417122599
  Medicare reassignment NPD Authorized official
• Vassilios A. Dimitropoulos, M.D.

  • Dermatology Physician
  • Michigan City, IN
  • NPI 1194838045

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1134445117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8154",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606808154",
            "telephone_number": "847-630-4129",
            "fax_number": "630-214-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 S CASS AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615013",
            "telephone_number": "630-963-4000",
            "fax_number": "630-214-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICINE AND CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "DIMITROPOULOS",
        "authorized_official_first_name": "STAMATIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-630-4129",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036114665",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036114665",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036114665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chez Tyson
• Marcia L Ublies
• Ariadna Ugalde-Rivero
• Ashleigh Ulrich, BCBA
• University Dermatology and Vein Clinic LLC
• Demi Cagney Van Wyk
• Shinu Philip Varghese, O.D.
• Jodie Velez
• Rachel Verdi
• Julie Vergo

• Cardiovascular Disease Physician in Darien, IL
• Providers in Darien, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.