Individual provider Active NPI

Maria Kordas

  • Gerontology Nurse Practitioner
  • Algonquin, IL
National Provider Identifier
1639534381
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209012835 Issued in IL
Practice address
1212 E Algonquin Rd
Algonquin, IL 60102-5446
Phone
(224) 713-0003
Fax
(224) 678-7122
NPI assigned
Dec 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209012835 IL Primary

Addresses

Primary practice location

1212 E Algonquin Rd
Algonquin, IL 60102-5446

Mailing address

1212 E Algonquin Rd
Algonquin, IL 60102-5446
Phone (630) 232-0280

Other identifiers 2

IdentifierTypeStateIssuer
F400268410OtherILMEDICARE PTAN (INDIVIDUAL)
206147OtherILMEDICARE PTAN (GROUP)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107002977 IL Practitioner - Nurse Practitioner 8628370632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Partnership of IllinoisGroup PAC ID 6901053511, 5 clinicians

Practice addresses (Care Compare)

1212 E Algonquin Rd
Algonquin, IL 60102-5446
Phone (224) 713-0003

62 N Ayer St
Harvard, IL 60033-2870
Phone (815) 943-4339

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partnership of Illinois CurrentSince Jun 30, 2022 Accepting new patients
Community Health Partnership of Illinois Current Accepting new patients
Vitaliscare Clinic LLC CurrentSince Oct 14, 2019 Accepting new patients
Community Health Partnership of Illinois CurrentSince Jun 30, 2022 Accepting new patients
Community Health Partnership of Illinois Past Accepting new patients

Locations

1212 E Algonquin Rd
Algonquin, IL 60102
Phone (224) 713-0003

157 S Lincoln Ave
Ste D
Aurora, IL 60505
Phone (630) 859-0015

205 W Randolph St
Ste 2222
Chicago, IL 60606
Phone (312) 795-0000

62 N Ayer St
Ste Ab
Harvard, IL 60033

62 N Ayer St
Ste A
Harvard, IL 60033
Phone (312) 795-0000

62 N Ayer St
Harvard, IL 60033
Phone (815) 943-4339

1009 Main St
Mendota, IL 61342
Phone (312) 795-0000

Organizations & group practices 5

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 2

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": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1639534381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 E ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025446",
            "telephone_number": "630-232-0280",
            "fax_number": "630-232-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025446",
            "telephone_number": "224-713-0003",
            "fax_number": "224-678-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDAS",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209012835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDIVIDUAL)",
            "identifier": "F400268410",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (GROUP)",
            "identifier": "206147",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.