Active NPI
Kurt F. Olsen, M.D.
- Anesthesiology Physician
- Chicago, IL
National Provider Identifier
1356373187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Practice address
- 680 N Lake Shore Dr
Suite 930
Chicago, IL 60611-4546 - Phone
- (312) 654-8700
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | IL | Primary |
Addresses
Primary practice location
680 N Lake Shore Dr
Suite 930
Chicago, IL 60611-4546
Mailing address
8135 N Milwaukee Ave
Niles, IL 60714-2828
Phone (847) 967-1149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01636421 | Other | IL | BLUE SHIELD OF ILLINOIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Anesthesia, SC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1851320618
-
- Anesthesiology Physician
- Lincolnwood, IL
- NPI 1760610893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356373187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8135 N MILWAUKEE AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607142828",
"telephone_number": "847-967-1149",
"fax_number": "847-967-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"address_2": "SUITE 930",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-654-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "KURT",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF ILLINOIS",
"identifier": "01636421",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.