Individual provider Active NPI

Nicholas Kondelis, M.D

  • Interventional Pain Medicine Physician
  • Oak Brook, IL
National Provider Identifier
1346282126
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
036070815 Issued in IL
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

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036070815MedicaidIL
02233277OtherILBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000855 IL Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 8224920871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Interventional 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
Advanced Pain Consultants, S.C.Group PAC ID 8325132988, 3 clinicians

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 Hospital, Oak Lawn, IL, CCN 140208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036070815ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Consultants, S.C. Pain Medicine CurrentSince Jan 1, 2007 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.