Individual provider Active NPI

Evangelos Biscotakis, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1487835138
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036121594 Issued in IL
Practice address
7447 W Talcott Ave Ste 300
Chicago, IL 60631-3714
Phone
(773) 774-7474
Fax
(773) 594-7800
NPI assigned
Nov 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 036121594 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave Ste 300
Chicago, IL 60631-3714

Mailing address

7447 W Talcott Ave Ste 300
Chicago, IL 60631-3714
Phone (773) 774-7474

Other identifiers 1

IdentifierTypeStateIssuer
036121594MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebiscotakis3590@ce-direct.presencehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036121594ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Concierge Medicine, PLLC Family Medicine CurrentSince Nov 6, 2022 Accepting new patients
Resurrection Services Family Medicine Past Accepting new patients

Locations

3633 W Lake Ave
Ste 108
Glenview, IL 60026
Phone (847) 510-2805

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.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1487835138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313714",
            "telephone_number": "773-774-7474",
            "fax_number": "773-594-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313714",
            "telephone_number": "773-774-7474",
            "fax_number": "773-594-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCOTAKIS",
        "first_name": "EVANGELOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036121594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036121594",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebiscotakis3590@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "7447 W Talcott Ave",
            "address_2": "Suite 245",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.