NPIMap

Individual provider Active NPI

Anna Beata Gopaniuk-Folga, MD

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1497733828
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036086848 Issued in IL
Practice address
7447 W Talcott Ave Ste 425
Chicago, IL 60631-3704
Phone
(773) 763-8400
Fax
(773) 774-8085
NPI assigned
Jan 5, 2006
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036086848 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave Ste 425
Chicago, IL 60631-3704

Mailing address

7447 W Talcott Ave Ste 425
Chicago, IL 60631-3704
Phone (773) 763-8400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address annagopaniuk@direct.practicefusion.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120425000418 IL Practitioner - NephrologyPractitioner - Internal Medicine 2264693027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Consultants, S.C.Group PAC ID 7911896204, 6 clinicians

Practice addresses (Care Compare)

7447 W Talcott Ave
Suite 425
Chicago, IL 60631-3704
Phone (773) 763-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.87 of 100Reported as individual
Quality
77.34
Improvement activities
40
Cost
73.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Consultants, S.C. Nephrology CurrentSince Aug 16, 2002 Accepting new patients

Locations

7447 W Talcott Ave
Ste 425
Chicago, IL 60631
Phone (773) 763-1818

7447 W Talcott Ave
Ste 463
Chicago, IL 60631
Phone (773) 763-8400

Interoperability endpoints

  • Direct secure messaging: annagopaniuk@direct.practicefusion.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1497733828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 425",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313704",
            "telephone_number": "773-763-8400",
            "fax_number": "773-774-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 425",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313704",
            "telephone_number": "773-763-8400",
            "fax_number": "773-774-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPANIUK-FOLGA",
        "first_name": "ANNA",
        "middle_name": "BEATA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036086848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annagopaniuk@direct.practicefusion.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7447 W Talcott Ave Ste 425",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.