Individual provider Active NPI

Tilemahos D Spyratos, D.O.

  • Gastroenterology Physician
  • Olympia Fields, IL
National Provider Identifier
1295055291
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036131281 Issued in IL
Practice address
3700 W 203Rd St Ste 201
Olympia Fields, IL 60461-1182
Phone
(708) 679-2380
Fax
(708) 747-3628
NPI assigned
Jun 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036131281 IL Primary

Addresses

Primary practice location

3700 W 203Rd St Ste 201
Olympia Fields, IL 60461-1182

Mailing address

35318 Eagle Way
Chicago, IL 60678-1353
Phone (317) 528-4800

Other practice location 1

30 E 15th St
Ste 207
Chicago Heights, IL 60411-3459
Phone (708) 679-2600

Other practice location 2

3700 W 203rd St Ste 302
Olympia Fields, IL 60461-1182
Phone (708) 679-2600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tspyratos151827@Direct.FranciscanAlliance.org Direct

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
I20140515000899 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 1658594858 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Illinois LLCGroup PAC ID 4183529456, 114 clinicians

Practice addresses (Care Compare)

3700 W 203Rd St
Suite 201
Olympia Fields, IL 60461-1182
Phone (708) 679-2880

Hospital & facility affiliations

  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy76
Upper gastrointestinal (GI) endoscopy for acid reflux84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Illinois, LLC CurrentSince Aug 29, 2016 Accepting new patients
Endeavor Health Medical Group CurrentSince May 1, 2014 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Aug 29, 2016 Accepting new patients
Endeavor Health Medical Group CurrentSince May 1, 2014 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

35318 Eagle Way
Chicago, IL 60678

30 E 15th St
Ste 207
Chicago Heights, IL 60411
Phone (708) 679-2600

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

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

355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329

3700 W 203rd St
Ste 111
Olympia Fields, IL 60461
Phone (708) 679-2512

3700 W 203rd St
Ste 302
Olympia Fields, IL 60461
Phone (708) 679-2518

3700 W 203rd St
Ste 201A
Olympia Fields, IL 60461

3700 W 203rd St
Ste 201
Olympia Flds, IL 60461
Phone (708) 679-2880

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

345 Dixie Hwy
South Chicago Heights, IL 60411
Phone (708) 754-7601

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

Interoperability endpoints

  • Direct secure messaging: tspyratos151827@direct.franciscanalliance.org

Organizations & group practices 5

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 1

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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1295055291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35318 EAGLE WAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781353",
            "telephone_number": "317-528-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 203RD ST STE 201",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611182",
            "telephone_number": "708-679-2380",
            "fax_number": "708-747-3628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E 15th St",
            "address_2": "Ste 207",
            "address_purpose": "LOCATION",
            "city": "Chicago Heights",
            "state": "IL",
            "postal_code": "604113459",
            "country_code": "US",
            "telephone_number": "708-679-2600",
            "fax_number": "708-755-3351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 W 203rd St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611182",
            "country_code": "US",
            "telephone_number": "708-679-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPYRATOS",
        "first_name": "TILEMAHOS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036131281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tspyratos151827@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3700 W 203rd St Ste 302",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.