Individual provider Active NPI

Javier Flores, M.D.,M.P.H.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1164445854
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036116087 Issued in IL
Practice address
4952 W Irving Park Rd Ste 300
Chicago, IL 60641-2693
Phone
(773) 942-6141
Fax
(866) 707-2267
NPI assigned
Jul 25, 2006
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X 036116087 IL
Family Medicine Physician 207Q00000X 036116087 IL Primary

Addresses

Primary practice location

4952 W Irving Park Rd Ste 300
Chicago, IL 60641-2693

Mailing address

4952 W Irving Park Rd Ste 300
Chicago, IL 60641-2693
Phone (773) 942-6141

Other practice location 1

1508 Grand Ave
Waukegan, IL 60085-3653
Phone (773) 942-6141

Other practice location 2

6227 Cermak Rd
Berwyn, IL 60402-2317
Phone (773) 942-6141

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
I20061108000108 IL Practitioner - Family Practice 7517964414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grand Vein Specialists LLCGroup PAC ID 9739343203, 2 clinicians

Practice addresses (Care Compare)

1508 Grand Ave
Waukegan, IL 60085-3653
Phone (773) 942-6141

4952 W Irving Park Rd
Ste300
Chicago, IL 60641-2640

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal214
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ramon a Garcia MD PC Multi-Specialty CurrentSince Dec 14, 2009 Accepting new patients
Grand Vein Specialists LLC Multi-Specialty CurrentSince Apr 1, 2012 Accepting new patients

Locations

6227 Cermak Rd
Berwyn, IL 60402
Phone (773) 942-6141

4952 W Irving Park Rd
Ste 300
Chicago, IL 60641
Phone (773) 942-6141

3538 W Fullerton Ave
Chicago, IL 60647
Phone (312) 640-1740

1508 Grand Ave
Waukegan, IL 60085
Phone (773) 237-1122

Interoperability endpoints

  • Direct secure messaging: javier.flores.1@4283.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4283/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1164445854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4952 W IRVING PARK RD STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412693",
            "telephone_number": "773-942-6141",
            "fax_number": "866-707-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4952 W IRVING PARK RD STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412693",
            "telephone_number": "773-942-6141",
            "fax_number": "866-707-2267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600853653",
            "country_code": "US",
            "telephone_number": "773-942-6141",
            "fax_number": "866-707-2267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6227 Cermak Rd",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604022317",
            "country_code": "US",
            "telephone_number": "773-942-6141",
            "fax_number": "866-707-2267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.,M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036116087",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036116087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.