Active NPI
Nicholas Kondelis, M.D
- Interventional Pain Medicine Physician
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 036070815
- Practice address
- 2100 Clearwater Dr Ste 100
Oak Brook, IL 60523-1931 - Phone
- (630) 607-1000
- Fax
- (630) 607-1002
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036070815 | IL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036070815 | IL | |
| Interventional Pain Medicine Physician | 208VP0014X | 036070815 | IL | Primary |
Addresses
Primary practice location
2100 Clearwater Dr Ste 100
Oak Brook, IL 60523-1931
Mailing address
2100 Clearwater Dr Ste 100
Oak Brook, IL 60523-1931
Phone (630) 581-3801
Other practice location 1
5851 W 95th St
Oak Lawn, IL 60453-2394
Phone (630) 607-1000
Other practice location 2
10719 160th St
Orland Park, IL 60467-5541
Phone (630) 607-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036070815 | Medicaid | IL | |
| 02233277 | Other | IL | BLUE SHIELD OF ILLINOIS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2100 Clearwater Dr
Suite 100
Oak Brook, IL 60523-1931
Phone (630) 607-1000
Hospital & facility affiliations
- Advocate Christ Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036070815 | IL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Consultants, S.C. | Pain Medicine | Current | Accepting new patients |
| Elmhurst Anesthesiologists, PC | Anesthesiology | Past | Accepting new patients |
| Grand Oaks Anesthesia PC | Past | Accepting new patients |
Locations
2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622
2100 Clearwater Dr
Ste 100
Oak Brook, IL 60523
Phone (630) 448-0923
5851 W 95th St
Oak Lawn, IL 60453
Phone (708) 574-6143
5851 W 95th St
Ste 300
Oak Lawn, IL 60453
Phone (708) 499-9800
10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300
6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100
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.
-
- Interventional Pain Medicine Physician
- Oak Brook, IL
- NPI 1164567236
-
- Anesthesiology Physician
- Elmhurst, IL
- NPI 1376586610
-
- Specialist
- Libertyville, IL
- NPI 1578673828
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1346282126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 CLEARWATER DR STE 100",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231931",
"telephone_number": "630-581-3801",
"fax_number": "630-607-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 CLEARWATER DR STE 100",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231931",
"telephone_number": "630-607-1000",
"fax_number": "630-607-1002"
}
],
"practiceLocations": [
{
"address_1": "5851 W 95th St",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532394",
"country_code": "US",
"telephone_number": "630-607-1000",
"fax_number": "630-607-1002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10719 160th St",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604675541",
"country_code": "US",
"telephone_number": "630-607-1000",
"fax_number": "630-607-1002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONDELIS",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036070815",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036070815",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036070815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036070815",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF ILLINOIS",
"identifier": "02233277",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.