Individual provider Active NPI

Gabriela Pavletic, OD

  • Optometrist
  • Orland Park, IL
National Provider Identifier
1679197826
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011409 Issued in IL
Practice address
10739 W 159TH St
Orland Park, IL 60467-4531
Phone
(708) 403-7711
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011409 IL Primary

Addresses

Primary practice location

10739 W 159TH St
Orland Park, IL 60467-4531

Mailing address

11115 Glenbrook LN
Indian Head Park, IL 60525-6984
Phone (708) 207-3626

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729000727 IL Practitioner - Optometry 5395160030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirk P Pavletic OD PCGroup PAC ID 4082733290, 4 clinicians

Practice addresses (Care Compare)

10739 W 159TH St
Orland Park, IL 60467-4531
Phone (708) 403-7711

Merit-based Incentive Payment System (MIPS)

Final score
89.33 of 100Reported as group
Quality
87.29
Improvement activities
40
Cost
81.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011409ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Krates Eye Centers PLLC CurrentSince Sep 1, 2020 Accepting new patients
Stephen G Krates DO PC CurrentSince Sep 1, 2020 Accepting new patients

Locations

15300 West Ave
Ste 315
Orland Park, IL 60462
Phone (312) 767-5900

7340 W College Dr
Fl 2
Palos Heights, IL 60463
Phone (708) 361-7800

7340 W College Dr
Fl Second
Palos Heights, IL 60463
Phone (708) 361-7800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1679197826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11115 GLENBROOK LN",
            "city": "INDIAN HEAD PARK",
            "state": "IL",
            "postal_code": "605256984",
            "telephone_number": "708-207-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10739 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674531",
            "telephone_number": "708-403-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLETIC",
        "first_name": "GABRIELA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.