Individual provider Active NPI

Kristopher Robert Karvelas, MD

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1629200498
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036-133416 Issued in IL
Practice address
1030 N Clark St
Chicago, IL 60610-5467
Phone
(312) 238-7767
Fax
(312) 238-7709
NPI assigned
Aug 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036-133416 IL Primary

Addresses

Primary practice location

1030 N Clark St
Chicago, IL 60610-5467

Mailing address

1030 N Clark St
Chicago, IL 60610-5467
Phone (312) 238-7767

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkarvelas178297@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20141015001286 NC Practitioner - Physical Medicine and Rehabilitation 1052546595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of North Carolina at Chapel Hill School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

1129 Weaver Dairy Rd
Chapel Hill, NC 27514-1960
Phone (919) 968-5959

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Unc Hospitals Inpatient Rehab Inpatient rehabilitation facility, Chapel Hill, NC, CCN 34T061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-133416ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Aug 19, 2019 Accepting new patients
University of North Carolina at Chapel Hill Physical Medicine & Rehabilitation CurrentSince Aug 19, 2019 Accepting new patients
Wake Forest University Health Sciences CurrentSince Aug 4, 2014 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

1350 Raleigh Rd
Chapel Hill, NC 27517
Phone (984) 974-4110

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1807 Fordham Blvd
Chapel Hill, NC 27514
Phone (919) 595-9641

1350 Raleigh Rd
#F2
Chapel Hill, NC 27517

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

430 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2000

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: kkarvelas178297@direct.unc.nchie.net

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1629200498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105467",
            "telephone_number": "312-238-7767",
            "fax_number": "312-238-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105467",
            "telephone_number": "312-238-7767",
            "fax_number": "312-238-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARVELAS",
        "first_name": "KRISTOPHER",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-133416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkarvelas178297@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1350 Raleigh Rd # F2",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275174412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.