Andrew M Pavlatos, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036076195 Issued in IL

Practice address

2845 N Sheridan Rd Ste 801
Chicago, IL 60657-6159

Phone

(773) 665-6851

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

Family Practice

Education

Rush Medical College of Rush University, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Astra Health Home health agency, Harwood Heights, IL, CCN 148259
• Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: apavlatos11416@ce-direct.presencehealth.org

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.

• Presence Healthcare Services

  • Multi-Specialty Clinic/Center
  • Elk Grove Village, IL
  • NPI 1932216819

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Presence Healthcare Services

  • Internal Medicine Physician
  • Bolingbrook, IL
  • NPI 1043748338
  NPD
• Presence Healthcare Services

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1821105750
  NPD
• Resurrection Services

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Chicago, IL
  • NPI 1386767937
  NPD
• Resurrection Services

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1972882298
  NPD
• Presence Healthcare Services

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1912961277
  NPD (past)
• Presence Healthcare Services

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1922115864
  NPD (past)

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

• Cardinal Homehealth Inc

  • Home Health Agency
  • Harwood Heights, IL
  • NPI 1518108703
  Care Compare affiliation
• Presence Chicago Hospitals Network

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1679659585
  Care Compare affiliation

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1679576201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN RD STE 801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576159",
            "telephone_number": "773-665-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN RD STE 801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576159",
            "telephone_number": "773-665-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLATOS",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036076195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076195",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apavlatos11416@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2800 N Sheridan Rd Ste 606",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apavlatos11416@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2845 N Sheridan Rd Ste 801",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra Pavick, LCSW
• Angela Paviglianiti
• Pavilion of Logan Square LLC
• Pavilion of South Shore LLC
• David S Pavkovich
• Lazaros Pavlidis, MD
• Ariana Pavlopoulos
• Natasha Nichelle Pavlovcik, FNP-BC, NP-C
• Nada Pavlovic
• Elynnor Pavlovics, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.