Individual provider Active NPI

Mehmet Kocak, MD

  • Neuroradiology Physician
  • Chicago, IL
National Provider Identifier
1255382099
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
036124519 Issued in IL
Practice address
1725 W Harrison St Ste 56
Chicago, IL 60612-3841
Phone
(312) 563-3064
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 036124519 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 56
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St Ste 56
Chicago, IL 60612-3841
Phone (312) 563-3064

Other identifiers 2

IdentifierTypeStateIssuer
34390800MedicaidWI
007906261OOtherHUMANA

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100507000140 IL Practitioner - Diagnostic Radiology 0941379960 Reassigns benefits to 2 organizations
I20230217000860 IN Practitioner - Diagnostic Radiology 0941379960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1611 W Harrison St
Suite 001
Chicago, IL 60612-4861

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 563-4270

1700 W Van Buren St
Suite 301
Chicago, IL 60612-5500

Hospital & facility affiliations

  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063
  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036124519ILMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Jan 31, 2020 Accepting new patients
Rush University Medical Center CurrentSince Jan 31, 2020 Accepting new patients
Rush University Medical Center PastSince Oct 24, 2021 Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

1725 W Harrison St
Ste 456
Chicago, IL 60612
Phone (312) 563-4238

1725 W Harrison St
Ste 56
Chicago, IL 60612
Phone (312) 563-3064

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

9200 Calumet Ave
Ste E107
Munster, IN 46321
Phone (219) 806-6585

9200 Calumet Ave
Ste 107
Munster, IN 46321

Interoperability endpoints

  • Direct secure messaging: mkocak14338@direct.rush.rush-health.com

Organizations & group practices 4

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 4

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1255382099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 56",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 56",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCAK",
        "first_name": "MEHMET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "036124519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34390800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "007906261O",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.