NPIMap

Individual provider Active NPI

Constantine Peter Saclarides

  • Surgery Physician
  • Maywood, IL
National Provider Identifier
1609261064
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
125066973 Issued in IL
Practice address
2160 S 1St Ave
EMS BLDG 110- Room 3210
Maywood, IL 60153-3328
Phone
(708) 327-3436
Fax
(708) 327-3489
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125066973 IL Primary

Addresses

Primary practice location

2160 S 1St Ave
EMS BLDG 110- Room 3210
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave
EMS BLDG 110- Room 32
Maywood, IL 60153-3328
Phone (708) 327-3436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, AK3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231113003549 TX Practitioner - General Surgery 2769786169 Reassigns benefits to 1 organization
I20260306000292 IL Practitioner - General Surgery 2769786169 Reassigns benefits to 1 organization
I20260320000966 AK Practitioner - General Surgery 2769786169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Miami, LM Miller School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alyeska Trauma and Acute General Surgery LLCGroup PAC ID 9032573712, 7 clinicians
Alaska Native Tribal Health ConsortiumGroup PAC ID 6709780265, 605 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

4001 Laurel St
Suite 205
Anchorage, AK 99508-5300
Phone (907) 562-8346

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

5666 E State St
Rockford, IL 61108-2425
Phone (815) 921-8929

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

  • Alaska Native Medical Center Hospital, Anchorage, AK, CCN 020026
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Feb 24, 2026 Accepting new patients
Alyeska Trauma & Acute General Surgery LLC Surgery CurrentSince Jan 1, 2026 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Oct 30, 2023 Accepting new patients
Cardiac Surgery Associates SC Past Accepting new patients
Alaska Trauma & Acute Care Surgery, LLC Surgery PastSince Jan 1, 2026 Accepting new patients
Alaska Native Tribal Health Consortium Past Accepting new patients

Locations

4001 Laurel St
Ste 205
Anchorage, AK 99508
Phone (907) 561-1434

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

Organizations & group practices 6

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1609261064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "address_2": "EMS BLDG 110- ROOM 32",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-327-3436",
            "fax_number": "708-327-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "address_2": "EMS BLDG 110- ROOM 3210",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-327-3436",
            "fax_number": "708-327-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACLARIDES",
        "first_name": "CONSTANTINE",
        "middle_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125066973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.