Individual provider Active NPI

Christopher Pavlovic, M.D.

  • Cardiovascular Disease Physician
  • Park Ridge, IL
National Provider Identifier
1417025735
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036-120225 Issued in IL
Practice address
1875 Dempster St
Suite 604
Park Ridge, IL 60068-1186
Phone
(847) 696-1200
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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 036-120225 IL Primary

Addresses

Primary practice location

1875 Dempster St
Suite 604
Park Ridge, IL 60068-1186

Mailing address

1875 Dempster St
Suite 604
Park Ridge, IL 60068-1186
Phone (847) 696-1200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cpavlovic252123@direct.myadvocate.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20080709000482 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional CardiologyPractitioner - Peripheral Vascular Disease 4981776846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Washington University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas a Pavlovic MD SCGroup PAC ID 7517062680, 2 clinicians

Practice addresses (Care Compare)

100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800

1875 Dempster St
Suite 604
Park Ridge, IL 60068-1168

1875 W Dempster
Suite 604
Park Ridge, IL 60068-1168
Phone (847) 696-1200

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000

Hospital & facility affiliations

  • Reliance Home Health Care, Inc Home health agency, Rolling MDWS, IL, CCN 147991
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-120225ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas a Pavlovic MD SC Cardiovascular Disease CurrentSince Sep 24, 2010 Accepting new patients
Michael J Karasis M.D. S.C. Past Accepting new patients

Locations

1875 W Dempster St
Ste 604
Park Ridge, IL 60068
Phone (847) 696-1200

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1417025735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE 604",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-696-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE 604",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-696-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOVIC",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-120225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpavlovic252123@direct.myadvocate.org",
            "affiliation": "N",
            "address_1": "1875 Dempster St",
            "address_2": "Suite 604",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1875 Dempster St",
            "address_2": "Suite 604",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.