Individual provider Active NPI

George Anestis Fotopoulos, NP

  • Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1245021708
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71016681A Issued in IN
Practice address
12750 Saint Francis Dr Ste 320
Crown Point, IN 46307-0264
Phone
(219) 662-0077
Fax
(219) 662-9496
NPI assigned
May 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71016681A IN Primary
Family Nurse Practitioner 363LF0000X 209.032321 IL

Addresses

Primary practice location

12750 Saint Francis Dr Ste 320
Crown Point, IN 46307-0264

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

17124 Harlem Ave
Tinley Park, IL 60477-3504
Phone (331) 481-5048

Other practice location 2

4801 Sauk Trl Unit B
Richton Park, IL 60471-1017
Phone (708) 773-1643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250930001832 IL Practitioner - Nurse Practitioner 4486150448 Reassigns benefits to 1 organization
I20251015002290 IN Practitioner - Nurse Practitioner 4486150448 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians
Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians
Nwi Urgent Care, LLCGroup PAC ID 7618142977, 45 clinicians

Practice addresses (Care Compare)

1122 Willow Rd
Northbrook, IL 60062-6824
Phone (847) 714-1220

31 E Sibley St
Suite a
Hammond, IN 46320-1725
Phone (219) 802-8800

8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71016681AINMDNurse Practitioner
209.032321ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Jun 20, 2025 Accepting new patients
Midwest Express Care, Inc CurrentSince Sep 3, 2025 Accepting new patients
Midwest Express Care 4 LLC CurrentSince Sep 3, 2025 Accepting new patients
Nwi Urgent Care, LLC CurrentSince Sep 3, 2025 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jun 20, 2025 Accepting new patients
Midwest Express Care 4 LLC CurrentSince Sep 3, 2025 Accepting new patients
The Methodist Hospitals, Inc PastSince Sep 3, 2025 Accepting new patients

Locations

1122 Willow Rd
Northbrook, IL 60062
Phone (847) 686-4444

4801 Sauk Trl
Unit B
Richton Park, IL 60471
Phone (708) 773-1643

17119 La Grange Rd
Tinley Park, IL 60487
Phone (708) 942-6707

17124 Harlem Ave
Tinley Park, IL 60477
Phone (331) 481-5048

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

1500 US Highway 41
Schererville, IN 46375
Phone (219) 440-7373

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1245021708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 SAINT FRANCIS DR STE 320",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070264",
            "telephone_number": "219-662-0077",
            "fax_number": "219-662-9496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17124 Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604773504",
            "country_code": "US",
            "telephone_number": "331-481-5048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Sauk Trl Unit B",
            "address_purpose": "LOCATION",
            "city": "Richton Park",
            "state": "IL",
            "postal_code": "604711017",
            "country_code": "US",
            "telephone_number": "708-773-1643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOTOPOULOS",
        "first_name": "GEORGE",
        "middle_name": "ANESTIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71016681A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.032321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.