Individual provider Active NPI

Nicholas Manolitsis, MD

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1558523084
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036148298 Issued in IL
Practice address
5145 N California Ave
Chicago, IL 60625-3661
Phone
(773) 878-8200
Fax
(773) 907-3032
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40688 IA
General Practice Physician 208D00000X C155514 CA
Physical Medicine & Rehabilitation Physician 208100000X 036148298 IL Primary

Addresses

Primary practice location

5145 N California Ave
Chicago, IL 60625-3661

Mailing address

PO Box 4925
Des Moines, IA 50305-4925
Phone (515) 358-0150

Other practice location 1

1111 6th Ave
Suite: B3
Des Moines, IA 50314-2613
Phone (515) 358-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, IL, CA3 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
I20160225000605 MT Practitioner - Physical Medicine and Rehabilitation 1557506490 Reassigns benefits to 1 organization
I20210112001047 IL Practitioner - Physical Medicine and Rehabilitation 1557506490 Reassigns benefits to 3 organizations
I20260216000845 CA Practitioner - Physical Medicine and Rehabilitation 1557506490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40688IAMDPhysical Medicine & Rehabilitation Physician
036148298ILMDPhysical Medicine & Rehabilitation Physician
C155514CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc CurrentSince Dec 20, 2020 Accepting new patients
Swedish Covenant Management Services, Inc. Physical Medicine & Rehabilitation CurrentSince Dec 20, 2020 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Jun 21, 2025 Accepting new patients
Signify Health Medical Associates of California, PC General Practice CurrentSince Dec 31, 2025 Accepting new patients
Karas PC CurrentSince May 18, 2021 Accepting new patients
Karas PC CurrentSince May 18, 2021 Accepting new patients
Boone County Hospital Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

1725 E 95th St
Chicago, IL 60617
Phone (800) 238-9307

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

2215 Sanders Rd
Ste 110N
Northbrook, IL 60062
Phone (248) 533-5743

600 W 22nd St
Ste 102
Oak Brook, IL 60523
Phone (708) 726-6588

600 W 22nd St
Oak Brook, IL 60523
Phone (630) 230-6505

60 Orland Square Dr
Ste 101
Orland Park, IL 60462
Phone (214) 289-8282

3011 American Way
Missoula, MT 59808
Phone (406) 546-8745

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 8

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1558523084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4925",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503054925",
            "telephone_number": "515-358-0150",
            "fax_number": "515-358-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253661",
            "telephone_number": "773-878-8200",
            "fax_number": "773-907-3032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 6th Ave",
            "address_2": "Suite: B3",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-358-0150",
            "fax_number": "515-358-0149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANOLITSIS",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "40688",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C155514",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036148298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.