Individual provider Active NPI

Stanislaw Jan Skaluba, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Naperville, IL
National Provider Identifier
1528011988
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
036.101050 Issued in IL
Practice address
10 Martin Ave Ste 200
Naperville, IL 60540-6535
Phone
(630) 600-0700
Fax
(630) 600-0701
NPI assigned
May 18, 2006
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036.101050 IL
Interventional Cardiology Physician 207RI0011X 036.101050 IL
Interventional Cardiology Physician 207RI0011X 036101050 IL
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 036-101050 IL
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 036.101050 IL Primary

Addresses

Primary practice location

10 Martin Ave Ste 200
Naperville, IL 60540-6535

Mailing address

10 Martin Ave Ste 200
Naperville, IL 60540-6535
Phone (630) 600-0700

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
I20050927001100 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9739114984 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute Gpe IncGroup PAC ID 9739697574, 51 clinicians
Elmhurst Memorial HospitalGroup PAC ID 3577458009, 82 clinicians
Edward HospitalGroup PAC ID 0042108110, 98 clinicians

Practice addresses (Care Compare)

10 Martin Ave
Suite 200
Naperville, IL 60540-6535
Phone (630) 600-0700

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 758-8000

16519 S Route 59
Suite a
Plainfield, IL 60586-2608
Phone (630) 600-0700

801 S Washington St
Naperville, IL 60540-7430
Phone (312) 355-0450

801 S Washington St
Naperville, IL 60540-7499

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-101050ILMDAdvanced Heart Failure and Transplant Cardiology Physician
036.101050ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Cardiovascular Institute SC Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Edward Hospital CurrentSince Jul 1, 2005 Accepting new patients
Advocate Health and Hospitals Corporation Cardiovascular Disease CurrentSince Jan 1, 2012 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2012 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Edward Hospital Cardiovascular Disease CurrentSince Jul 1, 2005 Accepting new patients
Cardiovascular Institute Gpe Inc Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Midwest Heart Specialists, LTD Cardiovascular Disease Past Accepting new patients
Edward Cardiovascular Institute Cardiovascular Disease Past Accepting new patients
Edward Cardiovascular Institute Cardiovascular Disease Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

3825 Highland Ave
Ste 400
Downers Grove, IL 60515
Phone (630) 719-4799

133 E Brush Hill Rd
Ste 202
Elmhurst, IL 60126
Phone (331) 231-6200

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2100 S Finley Rd
Lombard, IL 60148
Phone (630) 495-4000

10 Martin Ave
Ste 200
Naperville, IL 60540
Phone (630) 369-1572

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

801 S Washington St
#4
Naperville, IL 60540

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

852 S West St
Naperville, IL 60540
Phone (630) 305-5027

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

1 E County Line Rd
Sandwich, IL 60548
Phone (815) 786-2722

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/

Organizations & group practices 13

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.

View all 13

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1528011988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARTIN AVE STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406535",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARTIN AVE STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406535",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALUBA",
        "first_name": "STANISLAW",
        "middle_name": "JAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.101050",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036.101050",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036101050",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "IL",
            "license": "036-101050",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "IL",
            "license": "036.101050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.