Active NPI
Jack N Powitz, MD
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Practice address
- 4700 N Western Ave
Ste. 1B
Chicago, IL 60625-2081 - Phone
- (773) 334-8580
- Fax
- (773) 334-8590
- NPI assigned
- Mar 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | IL | Primary |
Addresses
Primary practice location
4700 N Western Ave
Ste. 1B
Chicago, IL 60625-2081
Mailing address
4700 N Western Ave
Ste. 1B
Chicago, IL 60625-2081
Phone (773) 334-8580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Main St
Park Forest, IL 60466-2375
Phone (708) 283-2921
1370 Ring Rd
Calumet City, IL 60409-5428
Phone (708) 730-0994
2242 N Kedzie Blvd
Chicago, IL 60647-2504
Phone (773) 486-7700
310 Banbury Rd
North Aurora, IL 60542-1260
Phone (630) 892-7627
707 W Riverside Blvd
Rockford, IL 61103-2125
Phone (815) 877-5752
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.52 of 100
- Quality
- 0
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Care Solutions, SC | Current | Accepting new patients | |
| BCS of Wisconsin S.C. | Psychiatry | Current | Accepting new patients |
| Care Advocate Psychiatric Management, Inc. | Psychiatry | Past | Accepting new patients |
Locations
1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501
39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000
2717 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 513-0700
Organizations & group practices 3
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.
-
- Geriatric Psychiatry Physician
- Westchester, IL
- NPI 1447550603
-
- Psychiatry Physician
- Waukesha, WI
- NPI 1629579149
-
- Psychiatry Physician
- Chicago, IL
- NPI 1144366907
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Northwest Community Hospital
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
dba Endeavor Health Northwest Community Hospital
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
-
dba Osf Saint James-John W Albrecht Medical Center
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558490433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 N WESTERN AVE",
"address_2": "STE. 1B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252081",
"telephone_number": "773-334-8580",
"fax_number": "773-334-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 N WESTERN AVE",
"address_2": "STE. 1B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252081",
"telephone_number": "773-334-8580",
"fax_number": "773-334-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWITZ",
"first_name": "JACK",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.