Individual provider Active NPI

Amanda Silver Karcioglu, M.D.

  • Otolaryngology Physician
  • Lake Bluff, IL
National Provider Identifier
1174686893
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036144080 Issued in IL
Practice address
71 Waukegan Rd Ste 700
Lake Bluff, IL 60044-1614
Phone
(847) 504-3300
Fax
(847) 504-3305
NPI assigned
Dec 18, 2006
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036144080 IL Primary

Addresses

Primary practice location

71 Waukegan Rd Ste 700
Lake Bluff, IL 60044-1614

Mailing address

71 Waukegan Rd Ste 700
Lake Bluff, IL 60044-1614
Phone (847) 504-3300

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
I20170914001310 IL Practitioner - Otolaryngology 0345418943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loyola University of Chicago, Stritch School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

9669 Kenton Ave
Suite 206
Skokie, IL 60076-1226
Phone (847) 676-1333

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 Aug 22, 2017 Accepting new patients
Endeavor Health Medical Group Otolaryngology CurrentSince Aug 22, 2017 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

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

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

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

71 Waukegan Rd
Ste 700
Lake Bluff, IL 60044
Phone (224) 251-2020

501 Skokie Blvd
Northbrook, IL 60062
Phone (847) 504-2300

9669 Kenton Ave
Ste 206
Skokie, IL 60076
Phone (847) 504-3300

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 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1174686893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WAUKEGAN RD STE 700",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441614",
            "telephone_number": "847-504-3300",
            "fax_number": "847-504-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WAUKEGAN RD STE 700",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441614",
            "telephone_number": "847-504-3300",
            "fax_number": "847-504-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARCIOGLU",
        "first_name": "AMANDA",
        "middle_name": "SILVER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036144080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

Verify at the official NPI Registry.