Active NPI
Christopher Pavlovic, M.D.
- Cardiovascular Disease Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036-120225
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Washington University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Advocate Lutheran General Hospital
- Amita Health Resurrection Medical Center
- Saint Francis Hospital-Evanston
- Northshore University Healthsystem - Evanston Hospital
- Advocate Sherman Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-120225 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas a Pavlovic MD SC | Cardiovascular Disease | Current | 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.
-
- Cardiovascular Disease Physician
- Park Ridge, IL
- NPI 1851466932
-
- Urology Physician
- Woodstock, IL
- NPI 1205910130
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- Home Health Agency
- Rolling Meadows, IL
- NPI 1588723654
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.