Individual provider Active NPI

James Anthony Krcik, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • South Elgin, IL
National Provider Identifier
1174790463
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
036-094418 Issued in IL
Practice address
486 Randall Rd Unit B
South Elgin, IL 60177-3354
Phone
(224) 361-4305
NPI assigned
May 15, 2008
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35-07-6634-K OH
Orthopaedic Surgery Physician 207X00000X 036-094418 IL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 235194 MA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 036-094418 IL Primary

Addresses

Primary practice location

486 Randall Rd Unit B
South Elgin, IL 60177-3354

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

6850 Centennial Dr
Tinley Park, IL 60477-1653
Phone (708) 429-3455

Other practice location 2

415 E Congress Pkwy Ste A
Crystal Lake, IL 60014-6248
Phone (815) 356-7494

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jkrcik283974@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20090813000628 IL Practitioner - Orthopedic SurgeryPractitioner - Internal MedicinePractitioner - Sports Medicine 7012061864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Internal Medicine, Sports Medicine
Education
Southern Illinois University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

450 W Hwy 22
Neonatology
Barrington, IL 60010-1919
Phone (847) 381-0123

4847 Hoffman Blvd
Hoffman Estates, IL 60192-3722
Phone (847) 685-4646

486 Randall Rd
Unit B
South Elgin, IL 60177-3354
Phone (224) 783-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-094418ILMDSports Medicine (Orthopaedic Surgery) Physician
235194MAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Oct 30, 2017 Accepting new patients
Mercy Health System Corporation CurrentSince Oct 30, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 18, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 18, 2023 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients
Daniel T Weber MD SC PastSince Mar 12, 2024 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

29373 Network Pl
Chicago, IL 60673

415 E Congress Pkwy
Crystal Lake, IL 60014
Phone (779) 220-5600

415 E Congress Pkwy
Ste A
Crystal Lake, IL 60014
Phone (815) 356-7494

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

4847 Hoffman Blvd
Hoffman Estates, IL 60192
Phone (847) 685-4646

1206 E 9th St
Ste 310
Lockport, IL 60441
Phone (708) 429-3455

486 Randall Rd
Unit B
South Elgin, IL 60177
Phone (224) 783-5000

Interoperability endpoints

  • Direct secure messaging: jkrcik283974@direct.myadvocateaurora.org

Organizations & group practices 6

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 3

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1174790463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 RANDALL RD UNIT B",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773354",
            "telephone_number": "224-361-4305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6850 Centennial Dr",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604771653",
            "country_code": "US",
            "telephone_number": "708-429-3455",
            "fax_number": "708-429-3422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 E Congress Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600146248",
            "country_code": "US",
            "telephone_number": "815-356-7494",
            "fax_number": "815-356-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRCIK",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35-07-6634-K",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-094418",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": "235194",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "036-094418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkrcik283974@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "486 Randall Rd Unit B",
            "city": "South Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601773354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "486 Randall Rd Unit B",
            "city": "South Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601773354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

Verify at the official NPI Registry.