Individual provider Active NPI

Angela Elena Papassavas, M.D.

  • Family Medicine Physician
  • Park Ridge, IL
National Provider Identifier
1376731448
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036119317 Issued in IL
Practice address
850 Busse Hwy
Park Ridge, IL 60068-2302
Phone
(847) 825-0300
Fax
(847) 825-1825
NPI assigned
Oct 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036119317 IL Primary

Addresses

Primary practice location

850 Busse Hwy
Park Ridge, IL 60068-2302

Mailing address

850 Busse Hwy
Park Ridge, IL 60068-2302
Phone (847) 825-0300

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
I20081213000274 IL Practitioner - Family Practice 1456413152 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Mar 14, 2009 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Aug 1, 2016 Accepting new patients
Access Community Health Network CurrentSince Mar 14, 2009 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Access Community Health Network Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 1, 2016 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

29373 Network Pl
Chicago, IL 60673

850 Busse Hwy
Park Ridge, IL 60068
Phone (847) 384-8511

Organizations & group practices 6

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": "1192233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1376731448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BUSSE HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682302",
            "telephone_number": "847-825-0300",
            "fax_number": "847-825-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BUSSE HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682302",
            "telephone_number": "847-825-0300",
            "fax_number": "847-825-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPASSAVAS",
        "first_name": "ANGELA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-13",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.