Anthony D Papadatos, MD, MBA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036.112284 Issued in IL

Practice address

505 N Lake Shore Dr Apt 6101
Chicago, IL 60611-3429

Phone

(312) 828-9552

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: apapadatosmd318719@carlehiedirect.net

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.

• Emergency Services Midwest SC

  • Emergency Medicine Physician
  • Belleville, IL
  • NPI 1174024806
  Medicare reassignment NPD
• Richland Memorial Hospital, Inc

  • Critical Access Hospital
  • Olney, IL
  • NPI 1467492124
  Medicare reassignment NPD
• Sanburg Emergency Group, P.C.

  • Emergency Medicine Physician
  • Galesburg, IL
  • NPI 1992337000
  Medicare reassignment NPD
• Richland Memorial Hospital, Inc

  • Rural Health Clinic/Center
  • Olney, IL
  • NPI 1326566290
  NPD
• Richland Memorial Hospital, Inc

  • Otolaryngology Physician
  • Olney, IL
  • NPI 1700063179
  NPD
• Emergency Care Physician Services-Blue Island LTD

  • Emergency Medicine Physician
  • Blue Island, IL
  • NPI 1558524793
  NPD (past)
• Emergency Medicine Physicians of Kankakee County, LLC

  • Emergency Medicine Physician
  • Kankakee, IL
  • NPI 1689815318
  NPD (past)
• Fischer Mangold/Joliet

  • Emergency Medicine Physician
  • Joliet, IL
  • NPI 1730138496
  NPD (past)
• Epmg of Michigan, P.C.

  • Emergency Medicine Physician
  • Livonia, MI
  • NPI 1386688992
  NPD (past)
• Indiana Emergency Professionals PC

  • Emergency Medicine Physician
  • Lawrenceburg, IN
  • NPI 1598068017
  NPD (past)
• Michigan Em-I Medical Services, P.C.

  • Emergency Medicine Physician
  • Dowagiac, MI
  • NPI 1588603484
  NPD (past)
• University Medical Diagnostic Associates, Inc.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1861441537
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1639117344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N LAKE SHORE DR APT 6101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N LAKE SHORE DR APT 6101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113429",
            "telephone_number": "312-828-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPADATOS",
        "first_name": "ANTHONY",
        "middle_name": "D",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IN",
            "license": "01059771A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.112284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Paolino, MS
• Megan Rose Paone, M. S. CCC-SLP
• Najma Aziz Papa, MD
• Ellen M Papacek, M.D.
• Jaclyn Lennon Papadakis, PHD
• Kyriakos Papadimitriou
• Michael Papadimitriou, D.D.S.
• Alexander Papadogiannis
• Nick Papadopoulos, MSW
• Emily Claire Papaeliou, LCSW

• Emergency Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.