Individual provider Active NPI

Georgios Nikolaos Asimis, MD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1407093537
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036135927 Issued in IL
Practice address
805 W Randolph St Ste 202-B
Chicago, IL 60607-2336
Phone
(312) 526-3500
Fax
(312) 291-9126
NPI assigned
Jan 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X 830158 IL
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 036135927 IL
Neurology Physician 2084N0400X 036135927 IL
Addiction Psychiatry Physician 2084P0802X 036135927 IL
Psychiatry Physician 2084P0800X 036135927 IL Primary

Addresses

Primary practice location

805 W Randolph St Ste 202-B
Chicago, IL 60607-2336

Mailing address

805 W Randolph St Ste 202-B
Chicago, IL 60607-2336
Phone (312) 526-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180109001026 NY Practitioner - Psychiatry 1254504517 Reassigns benefits to 2 organizations
I20180423002997 IL Practitioner - Psychiatry 1254504517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

805 W Randolph St
Suite 202 a
Chicago, IL 60607-2336
Phone (312) 526-3500

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
61
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
830158ILMDIntegrative Medicine Physician
036135927ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garnet Health Doctors PC CurrentSince Dec 26, 2023 Accepting new patients
Gouverneur Hospital CurrentSince Sep 27, 2021 Accepting new patients
Gouverneur Hospital CurrentSince Sep 27, 2021 Accepting new patients
BHC Streamwood Hospital Inc. CurrentSince Mar 18, 2018 Accepting new patients
Garnet Health Doctors PC CurrentSince Dec 26, 2023 Accepting new patients

Locations

1400 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 483-5578

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

Interoperability endpoints

  • Direct secure messaging: sunnyskieshealthcare.georgiosnikolaosasimis@159432.advancedmd-direct.com
  • Direct secure messaging: gasimis340473@direct.rochesterregional.org

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": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1407093537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W RANDOLPH ST STE 202-B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072336",
            "telephone_number": "312-526-3500",
            "fax_number": "312-291-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W RANDOLPH ST STE 202-B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072336",
            "telephone_number": "312-526-3500",
            "fax_number": "312-291-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIMIS",
        "first_name": "GEORGIOS",
        "middle_name": "NIKOLAOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "IL",
            "license": "830158",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "IL",
            "license": "036135927",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036135927",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "IL",
            "license": "036135927",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036135927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.