Active NPI
Nicholas Manolitsis, MD
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036148298
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40688 | IA | MD | Physical Medicine & Rehabilitation Physician |
| 036148298 | IL | MD | Physical Medicine & Rehabilitation Physician |
| C155514 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Covenant Management Services, Inc | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | General Practice | Current | Accepting new patients |
| Signify Health Medical Associates of California, PC | General Practice | Current | Accepting new patients |
| Karas PC | Current | Accepting new patients | |
| Karas PC | Current | 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.
-
- Pain Medicine (Anesthesiology) Physician
- Orland Park, IL
- NPI 1598176661
-
dba Swedish Covenant Medical Group
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
Physical Medicine & Rehabilitation
-
- General Practice Physician
- San Francisco, CA
- NPI 1124685169
-
- Pain Medicine (Anesthesiology) Physician
- Oak Brook, IL
- NPI 1659850220
-
dba Swedish Emergency Medicine
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.