Individual provider Active NPI

Christopher Michael Lodowsky, MD

  • Urology Physician
  • Lake Barrington, IL
National Provider Identifier
1427172758
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036126714 Issued in IL
Practice address
22285 N. Pepper Road
Suite 201
Lake Barrington, IL 60010-2540
Phone
(847) 382-5080
Fax
(847) 382-0923
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 223105 MA
Urology Physician 208800000X 036126714 IL Primary

Addresses

Primary practice location

22285 N. Pepper Road
Suite 201
Lake Barrington, IL 60010-2540

Mailing address

22285 N. Pepper Road
Suite 201
Lake Barrington, IL 60010-2540
Phone (847) 382-5080

Other practice location 1

360 Station Dr Ste 110
Crystal Lake, IL 60014-7978
Phone (847) 382-5080

Other practice location 2

1600 N Randall Rd Ste 201
Elgin, IL 60123-7805
Phone (847) 382-5080

Other identifiers 1

IdentifierTypeStateIssuer
036126712MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address clodowsky237939@direct.myadvocateaurora.org Direct
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
I20110221000325 IL Practitioner - Urology 3971670563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Loyola University of Chicago, Stritch School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Urologic Care S CGroup PAC ID 4486553369, 15 clinicians

Practice addresses (Care Compare)

450 W Hwy 22
Barrington, IL 60010-1919
Phone (847) 381-9600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036126714ILMDUrology Physician
223105MAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Shockwave Services, LTD. CurrentSince Nov 19, 2014 Accepting new patients
United Shockwave Services, LTD. Urology Current Accepting new patients
Comprehensive Urologic Care S C Urology CurrentSince Oct 4, 2010 Accepting new patients
United Shockwave Services, LTD. Urology CurrentSince Nov 19, 2014 Accepting new patients
Northwest Pulmonary and Sleep Medicine SC PastSince Apr 1, 2010 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

360 Station Dr
Ste 230
Crystal Lake, IL 60014
Phone (815) 477-7350

360 Station Dr
Ste 110
Crystal Lake, IL 60014
Phone (815) 477-2136

1600 N Randall Rd
Ste 201
Elgin, IL 60123
Phone (847) 382-5080

1585 N Barrington Rd
Ste 206
Hoffman Estates, IL 60169
Phone (847) 382-5080

22285 N Pepper Rd
Ste 201
Lake Barrington, IL 60010
Phone (847) 382-5080

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHEBA

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.

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1427172758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 N. PEPPER ROAD",
            "address_2": "SUITE 201",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102540",
            "telephone_number": "847-382-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 N. PEPPER ROAD",
            "address_2": "SUITE 201",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102540",
            "telephone_number": "847-382-5080",
            "fax_number": "847-382-0923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Station Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147978",
            "country_code": "US",
            "telephone_number": "847-382-5080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 N Randall Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601237805",
            "country_code": "US",
            "telephone_number": "847-382-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LODOWSKY",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "223105",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036126714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036126712",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clodowsky237939@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "22285 N. Pepper Road",
            "address_2": "Suite 201",
            "city": "Lake Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600102540",
            "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": "22285 N. Pepper Road",
            "address_2": "Suite 201",
            "city": "Lake Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600102540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Barrington, IL

Sources for this page

Verify at the official NPI Registry.