Active NPI
Georgios Nikolaos Asimis, MD
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036135927
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 830158 | IL | MD | Integrative Medicine Physician |
| 036135927 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garnet Health Doctors PC | Current | Accepting new patients | |
| Gouverneur Hospital | Current | Accepting new patients | |
| Gouverneur Hospital | Current | Accepting new patients | |
| BHC Streamwood Hospital Inc. | Current | Accepting new patients | |
| Garnet Health Doctors PC | Current | 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
- sunnyskieshealthcare.georgiosnikolaosasimis@159432.advancedmd-direct.com
- 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.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1518670769
-
- Psychiatric Hospital
- Streamwood, IL
- NPI 1619916822
-
- General Practice Physician
- Middletown, NY
- NPI 1093138851
-
- Critical Access Hospital
- Gouverneur, NY
- NPI 1295156412
-
- General Practice Physician
- Harris, NY
- NPI 1164845699
-
- Critical Access Hospital
- Gouverneur, NY
- NPI 1629409925
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.