Individual provider Active NPI

Joseph W Ofisi, MD

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1295057610
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036.126698 Issued in IL
Practice address
908 S Laflin St
Chicago, IL 60607-4024
Phone
(312) 590-1601
NPI assigned
Feb 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036.126698 IL Primary

Addresses

Primary practice location

908 S Laflin St
Chicago, IL 60607-4024

Mailing address

908 S Laflin St
Chicago, IL 60607-4024
Phone (312) 590-1601

Other practice location 1

4747 Lincoln Mall Dr
Matteson, IL 60443-3811
Phone (708) 898-2700

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
I20130208000269 IL Practitioner - Family PracticePractitioner - General SurgeryPractitioner - Internal Medicine 3375797830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1342 W Grenshaw St
Apt 1
Chicago, IL 60607-0025
Phone (312) 590-1601

502 W 138TH St
Riverdale, IL 60827-1611
Phone (312) 763-6162

Hospital & facility affiliations

  • Emmanuel Home Health, Inc Home health agency, Algonquin, IL, CCN 147973
  • Humanity Home Health LLC Home health agency, Lombard, IL, CCN 147964
  • Essential Home Healthcare, Inc Home health agency, Rolling Meadows, IL, CCN 148092
  • First Class Home Health Inc. Home health agency, Wood Dale, IL, CCN 148402
  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue93
Removal of nail tissue1-10
Removal or shaving of skin growth28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.126698ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imani Community Clinic CurrentSince May 13, 2025 Accepting new patients
Siloam Home and Wound Care Physicians Inc CurrentSince Dec 5, 2013 Accepting new patients
Sunrise Consultant Services, Inc CurrentSince May 13, 2025 Accepting new patients
Docs at the Door Inc PastSince Jul 1, 2015 Accepting new patients

Locations

502 W 138th St
Riverdale, IL 60827
Phone (312) 763-6162

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 5

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": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1295057610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 S LAFLIN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074024",
            "telephone_number": "312-590-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 S LAFLIN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074024",
            "telephone_number": "312-590-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 Lincoln Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Matteson",
            "state": "IL",
            "postal_code": "604433811",
            "country_code": "US",
            "telephone_number": "708-898-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFISI",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.126698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.