Individual provider Active NPI

George Katsamakis, M.D.

  • Neurology Physician
  • Lake Barrington, IL
National Provider Identifier
1174502835
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036094580 Issued in IL
Practice address
22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2538
Phone
(847) 882-6604
Fax
(847) 882-6228
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036094580 IL Primary

Addresses

Primary practice location

22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2538

Mailing address

22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2538
Phone (847) 882-6604

Other identifiers 2

IdentifierTypeStateIssuer
336058577OtherILCS
036094580MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL northwestneuro.com Direct
Other URL northwestneuro.com Other

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
I20040310001406 IL Practitioner - Neurology 8426947342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rush Medical College of Rush University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Neurology, LTDGroup PAC ID 8729069158, 30 clinicians

Practice addresses (Care Compare)

22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2542
Phone 84788266042191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036094580ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neurology, LTD Neurology CurrentSince Jul 10, 2006 Accepting new patients
Rush University Medical Center Neurology Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

525 E Congress Pkwy
Ste 250
Crystal Lake, IL 60014
Phone (815) 455-7200

2260 W Higgins Rd
Ste 201
Hoffman Estates, IL 60169
Phone (224) 353-6361

22285 N Pepper Rd
Ste 401
Lake Barrington, IL 60010
Phone (847) 882-6604

1800 Hollister Dr
Ste G2
Libertyville, IL 60048
Phone (847) 680-8066

3701 Algonquin Rd
Ste 800
Rolling Meadows, IL 60008
Phone (847) 786-5366

100 W Higgins Rd
Unit H45
South Barrington, IL 60010

Interoperability endpoints

  • Direct secure messaging: gkatsamakis234648@direct.myadvocateaurora.org

Organizations & group practices 3

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 7

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174502835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD",
            "address_2": "SUITE 401",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102538",
            "telephone_number": "847-882-6604",
            "fax_number": "847-882-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD",
            "address_2": "SUITE 401",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102538",
            "telephone_number": "847-882-6604",
            "fax_number": "847-882-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSAMAKIS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036094580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CS",
            "identifier": "336058577",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094580",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "northwestneuro.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sdonofrio@northwestneuro.com",
            "address_1": "22285 N Pepper Rd",
            "address_2": "Suite 401",
            "city": "Lake Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600102538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "northwestneuro.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "22285 N Pepper Rd",
            "address_2": "Suite 401",
            "city": "Lake Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600102538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Barrington, IL

Sources for this page

Verify at the official NPI Registry.