Individual provider Active NPI

Andrew Skolarz, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1639582562
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.148237 Issued in IL
Practice address
7447 W Talcott Ave Ste 366
Chicago, IL 60631
Phone
(773) 594-1410
Fax
(773) 774-1402
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.148237 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave Ste 366
Chicago, IL 60631

Mailing address

7447 W Talcott Ave Ste 366
Chicago, IL 60631-3719
Phone (773) 594-1410

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
I20210504001941 IL Practitioner - Family Practice 6507159878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7447 W Talcott Ave
Suite 366
Chicago, IL 60631-3719
Phone (773) 594-1410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.83 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.148237ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Skolarz MD SC Family Medicine CurrentSince Jan 19, 2021 Accepting new patients

Locations

7447 W Talcott Ave
Ste 366
Chicago, IL 60631
Phone (773) 594-1410

Organizations & group practices 1

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 7

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1639582562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 366",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313719",
            "telephone_number": "773-594-1410",
            "fax_number": "773-774-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 366",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60631",
            "telephone_number": "773-594-1410",
            "fax_number": "773-774-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLARZ",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.148237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.