NPIMap

Individual provider Active NPI

Mark W Stolar, M.D.

  • Internal Medicine Physician
  • Woodstock, IL
National Provider Identifier
1396784591
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036061561 Issued in IL
Practice address
3707 Doty Rd Ste E&F
Woodstock, IL 60098-7530
Phone
(815) 338-6600
Fax
(815) 337-1980
NPI assigned
Jun 5, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036061561 IL Primary

Addresses

Primary practice location

3707 Doty Rd Ste E&F
Woodstock, IL 60098-7530

Mailing address

3707 Doty Rd Ste E&F
Woodstock, IL 60098-7530
Phone (815) 338-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119001127 IL Practitioner - Internal MedicinePractitioner - Endocrinology 6507806312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

3707 Doty Rd
Woodstock, IL 60098-7530
Phone (815) 338-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Central Dupage Physician Group CurrentSince Sep 1, 2020 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

676 N Saint Clair St
Ste 415
Chicago, IL 60611
Phone (312) 335-1133

680 N Lake Shore Dr
Ste 1015
Chicago, IL 60611
Phone (312) 926-9674

680 N Lake Shore Dr
Ste 818
Chicago, IL 60611

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2507 N Richmond Rd
McHenry, IL 60051
Phone (815) 363-2350

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

3707 Doty Rd
Woodstock, IL 60098
Phone (815) 206-1068

3707 Doty Rd
Ste Ef
Woodstock, IL 60098

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.

Hospital & facility affiliations 9

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1396784591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 DOTY RD STE E&F",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987530",
            "telephone_number": "815-338-6600",
            "fax_number": "815-337-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 DOTY RD STE E&F",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987530",
            "telephone_number": "815-338-6600",
            "fax_number": "815-337-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLAR",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036061561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

Verify at the official NPI Registry.