Individual provider Active NPI

Elizabeth Ann Colaiuta, MD

  • Vascular Surgery Physician
  • Downers Grove, IL
National Provider Identifier
1558338723
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD424254 Issued in PA
Practice address
2650 Warrenville Rd
Ste. 280
Downers Grove, IL 60515-1748
Phone
(630) 324-7900
NPI assigned
Mar 7, 2006
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036-116776 IL
Vascular Surgery Physician 2086S0129X MD424254 PA Primary

Addresses

Primary practice location

2650 Warrenville Rd
Ste. 280
Downers Grove, IL 60515-1748

Mailing address

2650 Warrenville Rd
Ste. 280
Downers Grove, IL 60515-1748
Phone (630) 324-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040813000922 PA Practitioner - Vascular Surgery 8527031095 Reassigns benefits to 1 organization
I20070613000146 IL Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 8527031095 Reassigns benefits to 1 organization
I20210119001833 NM Practitioner - Vascular Surgery 8527031095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Medical GroupGroup PAC ID 3779688650, 190 clinicians

Practice addresses (Care Compare)

2494 Bernville Rd
Suite 201
Reading, PA 19605-9468
Phone (610) 378-2676

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-116776ILMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Medical Group Vascular Surgery CurrentSince Apr 1, 2025 Accepting new patients
Three Crosses Regional Hospital LLC CurrentSince Jan 1, 2023 Accepting new patients
Heart Care Centers of Illinois, SC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 2, 2015 Accepting new patients
St. Joseph Medical Group CurrentSince Apr 1, 2025 Accepting new patients
Cardiac Surgery Associates SC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Familycare Associates,PA Past Accepting new patients
Northern Michigan Medical Management Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

3231 Euclid Ave
Ste 400
Berwyn, IL 60402
Phone (708) 478-3600

2338 New St
Blue Island, IL 60406
Phone (708) 577-5060

13011 S 104th Ave
Ste 100
Palos Park, IL 60464
Phone (708) 274-3278

2550 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 522-7247

2560 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 800-3868

2494 Bernville Rd
Ste 201
Reading, PA 19605
Phone (610) 378-2557

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Organizations & group practices 7

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 1

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1558338723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 WARRENVILLE RD",
            "address_2": "STE. 280",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151748",
            "telephone_number": "630-324-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 WARRENVILLE RD",
            "address_2": "STE. 280",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151748",
            "telephone_number": "630-324-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAIUTA",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036-116776",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD424254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.