Organization Active NPI

Talcott Primary Care LLC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1457473175
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TALCOTT PRIMARY CARE LLC
Practice address
7447 W Talcott Ave Ste 409
Chicago, IL 60631-3715
Phone
(773) 763-3808
Fax
(773) 763-2885
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Dr. Steven J Pearlman, M.D.NPI 1518025220
Title
Owner
Phone
(773) 763-3808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7447 W Talcott Ave Ste 409
Chicago, IL 60631-3715

Mailing address

7447 W Talcott Ave Ste 409
Chicago, IL 60631-3715
Phone (773) 763-3808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090422000232 IL Part B Supplier - Clinic/Group Practice 8123175585 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL; Des Plaines, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1062407Talcott Primary Care L L C7447 W Talcott, Suite 409-415, Chicago, IL 60631Certificate of waiverDec 12, 2026

National Provider Directory

National Provider Directory

Locations

7447 W Talcott Ave
Ste 409
Chicago, IL 60631
Phone (773) 763-3808

7447 W Talcott Ave
Ste 409415
Chicago, IL 60631
Phone (773) 763-3808

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14003/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1457473175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 409",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313715",
            "telephone_number": "773-763-3808",
            "fax_number": "773-763-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 409",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313715",
            "telephone_number": "773-763-3808",
            "fax_number": "773-763-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALCOTT PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "PEARLMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-763-3808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.