Individual provider Active NPI

Mary R Szatkowski-Pritikin, MD

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1336105444
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036062384 Issued in IL
Practice address
111 N Wabash Ave
Ste 1810
Chicago, IL 60602-2975
Phone
(312) 332-4296
Fax
(312) 419-6824
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036062384 IL Primary

Addresses

Primary practice location

111 N Wabash Ave
Ste 1810
Chicago, IL 60602-2975

Mailing address

111 N Wabash Ave
Ste 1810
Chicago, IL 60602-2975
Phone (312) 332-4296

Other identifiers 1

IdentifierTypeStateIssuer
21609529OtherILBCBS

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
I20120324000081 IL Practitioner - Ophthalmology 3577723816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 N Wabash Ave
Chicago, IL 60602-2975

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036062384ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Szatkowski-Pritikin, M.D. Ophthalmology CurrentSince Jan 1, 1987 Accepting new patients
Mary Szatkowski, MD.,SC Ophthalmology CurrentSince Feb 21, 2013 Accepting new patients
Eye Center Physicians, LTD. Ophthalmology CurrentSince Jan 1, 1987 Accepting new patients

Locations

111 N Wabash Ave
Ste 1810
Chicago, IL 60602
Phone (312) 332-4296

1725 W Harrison St
Ste 906
Chicago, IL 60612
Phone (312) 733-7566

Organizations & group practices 3

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1336105444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "STE 1810",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022975",
            "telephone_number": "312-332-4296",
            "fax_number": "312-419-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "STE 1810",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022975",
            "telephone_number": "312-332-4296",
            "fax_number": "312-419-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZATKOWSKI-PRITIKIN",
        "first_name": "MARY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036062384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21609529",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.