NPIMap

Individual provider Active NPI

Manfred James Pyka, MD

  • Cardiovascular Disease Physician
  • Winfield, IL
National Provider Identifier
1396796389
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036087870 Issued in IL
Practice address
25 N Winfield Rd Ste 500
Winfield, IL 60190-1379
Phone
(630) 232-0280
Fax
(630) 232-3895
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036087870 IL Primary

Addresses

Primary practice location

25 N Winfield Rd Ste 500
Winfield, IL 60190-1379

Mailing address

25 N Winfield Rd Ste 500
Winfield, IL 60190-1379
Phone (630) 232-0280

Other practice location 1

25 N Winfield Rd
Winfield, IL 60190-1295
Phone (630) 232-0280

Other identifiers 5

IdentifierTypeStateIssuer
036087870MedicaidIL
03687870OtherILMEDICAID
206147OtherILMEDICARE PTAN (GROUP)
060051271OtherRAILROAD MEDICARE
F400182673OtherILMEDICARE PTAN (INDVIDUAL)

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
I20040922000486 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9537137096 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1991
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)

1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800

25 N Winfield Rd
Winfield, IL 60190-1222
Phone (630) 933-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

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

State licenses

LicenseStateTypeSpecialty
036087870ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Hospital Cardiovascular Disease CurrentSince Jan 1, 2014 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2024 Accepting new patients
Winfield Pathology Consultants, S.C. Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2024 Accepting new patients
Central Dupage Physician Group CurrentSince Dec 1, 2014 Accepting new patients
Central Dupage Hospital Association CurrentSince Aug 1, 2003 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Jun 10, 2010 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Jun 17, 2015 Accepting new patients
Central Dupage Physician Group CurrentSince Dec 1, 2014 Accepting new patients
Delnor Community Hospital CurrentSince Feb 3, 2015 Accepting new patients
Edward Hospital CurrentSince Jan 1, 2014 Accepting new patients
Central Dupage Hospital Association CurrentSince Aug 1, 2003 Accepting new patients
Midwest Heart Specialists, LTD Cardiovascular Disease Past Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

Dept 4698
Carol Stream, IL 60122

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122

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

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

304 Randall Rd
Geneva, IL 60134
Phone (630) 232-0610

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2100 S Finley Rd
Lombard, IL 60148
Phone (630) 495-4000

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

1 E County Line Rd
Sandwich, IL 60548
Phone (815) 786-2722

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

25 N Winfield Rd
Ste 500
Winfield, IL 60190
Phone (630) 232-2800

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1396796389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD STE 500",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-232-0280",
            "fax_number": "630-232-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD STE 500",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-232-0280",
            "fax_number": "630-232-3895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N Winfield Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901295",
            "country_code": "US",
            "telephone_number": "630-232-0280",
            "fax_number": "630-232-3895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYKA",
        "first_name": "MANFRED",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036087870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087870",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "03687870",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (GROUP)",
            "identifier": "206147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060051271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDVIDUAL)",
            "identifier": "F400182673",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

Verify at the official NPI Registry.