Individual provider Active NPI

Stasia E Richter, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1508869744
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036075143 Issued in IL
Practice address
1725 W Harrison St Ste 318
Chicago, IL 60612-3817
Phone
(312) 942-6647
Fax
(312) 942-3730
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036075143 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 318
Chicago, IL 60612-3817

Mailing address

12632 S Harlem Ave
Palos Heights, IL 60463-1428
Phone (708) 587-0000

Other identifiers 1

IdentifierTypeStateIssuer
036075143MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address skahn155923@direct.rush.rush-health.com Health Information Exchange (HIE)
FHIR URL skahn155923@direct.rush.rush-health.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: 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
I20101110000117 IL Practitioner - Internal Medicine 0446445910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Illinois Medical College, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1725 W Harrison St
Suite 318
Chicago, IL 60612-3817

1950 W Polk St
Chicago, IL 60612-3723

21410 N 19TH Ave
Suite 151
Phoenix, AZ 85027-2761

2245 W 35TH St
Chicago, IL 60609-1031

744 Crescent Blvd
Glen Ellyn, IL 60137-4208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036075143ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Almasri and Associates Inc. CurrentSince Sep 10, 2023 Accepting new patients
Cook County Internal Medicine CurrentSince Jul 26, 2024 Accepting new patients
Cook County CurrentSince Jul 26, 2024 Accepting new patients
Cook County Current Accepting new patients

Locations

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

12632 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 587-0000

Interoperability endpoints

  • Direct secure messaging: stasia.richter.1@18377.direct.athenahealth.com
  • Direct secure messaging: skahn155923@direct.rush.rush-health.com

Organizations & group practices 4

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1508869744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12632 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631428",
            "telephone_number": "708-587-0000",
            "fax_number": "708-623-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 318",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123817",
            "telephone_number": "312-942-6647",
            "fax_number": "312-942-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "STASIA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036075143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075143",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skahn155923@direct.rush.rush-health.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1725 W Harrison St Ste 318",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "skahn155923@direct.rush.rush-health.com",
            "affiliation": "N",
            "endpointDescription": "Rush Health HIE Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1725 W Harrison St Ste 318",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.