Active NPI
Panagiotis Flevaris, MD, PHD
- Cardiovascular Disease Physician
- Northfield, IL
National Provider Identifier
1346561867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036131554
- Practice address
- 255 Meadowbrook Dr
Northfield, IL 60093-1051 - Phone
- (773) 592-1482
- NPI assigned
- Jun 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036131554 | IL | Primary |
Addresses
Primary practice location
255 Meadowbrook Dr
Northfield, IL 60093-1051
Mailing address
255 Meadowbrook Dr
Northfield, IL 60093-1051
Phone (773) 592-1482
Other practice location 1
251 E Huron St
Galter, 3-150
Chicago, IL 60611-2908
Phone (773) 592-1482
Other practice location 2
480 S US Highway 45
Grayslake, IL 60030
Phone (773) 592-1482
Other practice location 3
480 S US Highway 45
Grayslake, IL 60030
Phone (773) 592-1482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036131554 | Other | IL | IL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1346561867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 MEADOWBROOK DR",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600931051",
"telephone_number": "773-592-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 MEADOWBROOK DR",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600931051",
"telephone_number": "773-592-1482"
}
],
"practiceLocations": [
{
"address_1": "251 E Huron St",
"address_2": "Galter, 3-150",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112908",
"country_code": "US",
"telephone_number": "773-592-1482",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "480 S US Highway 45",
"address_purpose": "LOCATION",
"city": "Grayslake",
"state": "IL",
"postal_code": "60030",
"country_code": "US",
"telephone_number": "773-592-1482",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "480 S US Highway 45",
"address_purpose": "LOCATION",
"city": "Grayslake",
"state": "IL",
"postal_code": "60030",
"country_code": "US",
"telephone_number": "773-592-1482",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEVARIS",
"first_name": "PANAGIOTIS",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-18",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036131554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL LICENSE",
"identifier": "036131554",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.