Individual provider Active NPI

Niki A Christopoulos, MD

  • Plastic Surgery Physician
  • Chicago, IL
National Provider Identifier
1609036029
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
036114589 Issued in IL
Practice address
215 N Peoria St FL 1
Chicago, IL 60607-1754
Phone
(312) 445-9827
NPI assigned
Jun 10, 2008
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 036114589 IL Primary

Addresses

Primary practice location

215 N Peoria St FL 1
Chicago, IL 60607-1754

Mailing address

1017 W Washington Blvd Unit 2K
Chicago, IL 60607-2106
Phone (773) 459-6815

Other practice location 1

515 N State St Ste 900
Chicago, IL 60654-9104
Phone (312) 445-9827

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
I20100123000250 IL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand SurgeryPractitioner - Maxillofacial Surgery 1254473671 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 7, 2009 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Dec 7, 2009 Accepting new patients
Derick Dermatology, PLLC PastSince Jan 1, 2013 Accepting new patients

Locations

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

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

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

29373 Network Pl
Chicago, IL 60673

4400 W 95th St
Ste 404
Oak Lawn, IL 60453
Phone (708) 425-2345

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

10811 W 143rd St
Ste 100
Orland Park, IL 60467
Phone (708) 460-2500

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1609036029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W WASHINGTON BLVD UNIT 2K",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072106",
            "telephone_number": "773-459-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N PEORIA ST FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071754",
            "telephone_number": "312-445-9827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N State St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606549104",
            "country_code": "US",
            "telephone_number": "312-445-9827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTOPOULOS",
        "first_name": "NIKI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036114589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.