Individual provider Active NPI

Marian Skolarz, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1487764163
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-085369 Issued in IL
Practice address
7447 W Talcott Ave
Suite 366
Chicago, IL 60631-3719
Phone
(773) 594-1410
Fax
(773) 774-1402
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-085369 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave
Suite 366
Chicago, IL 60631-3719

Mailing address

7447 W Talcott Ave
Suite 366
Chicago, IL 60631-3719
Phone (773) 594-1410

Other identifiers 1

IdentifierTypeStateIssuer
036085369MedicaidIL

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
I20100811000389 IL Practitioner - Family Practice 0648304741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7447 W Talcott Ave
Suite 366
Chicago, IL 60631-3719
Phone (773) 594-1410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy38
Upper gastrointestinal (GI) endoscopy for acid reflux34
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-085369ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marian J Skolarz, M.D., S.C. Family Medicine CurrentSince Mar 10, 1997 Accepting new patients

Locations

7447 W Talcott Ave
Ste 366
Chicago, IL 60631
Phone (773) 594-1410

Organizations & group practices 1

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 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487764163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 366",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313719",
            "telephone_number": "773-594-1410",
            "fax_number": "773-774-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 366",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313719",
            "telephone_number": "773-594-1410",
            "fax_number": "773-774-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLARZ",
        "first_name": "MARIAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-085369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085369",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.