Georgios Karanastasis

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036122134 Issued in IL

Practice address

12800 S Ridgeland Ave Ste E
Palos Heights, IL 60463-2391

Phone

(708) 429-3700

Fax

(708) 429-4460

NPI assigned

Jan 8, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: georgios.karanastasis@568033099776004.direct.elationemr.com
• Direct secure messaging: gkaranastasis283707@direct.myadvocateaurora.org

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1689811978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 S RIDGELAND AVE STE E",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 S RIDGELAND AVE STE E",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632391",
            "telephone_number": "708-429-3700",
            "fax_number": "708-429-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15614 S Harlem Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604624401",
            "country_code": "US",
            "telephone_number": "708-429-3700",
            "fax_number": "708-429-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARANASTASIS",
        "first_name": "GEORGIOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036122134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSE",
            "identifier": "036122134",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkaranastasis283707@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12800 S Ridgeland Ave Ste E",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604632391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "12800 S Ridgeland Ave Ste E",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604632391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adrian Kalata, PHARMD
• Bobby L Kalladanthyil, MPT
• Michelle A Kallenborn, D.O.
• Dua Kanwal Iqbal Kalota
• Jordan L Kaplan, D.D.S.
• Puja Karanth, M.D.
• Karen L. Opferman, D.D.S., P.C.
• Brian Marc Karshen, D.D.S.
• Magdalena Karwaczka
• Susan Katello, APRN

• Internal Medicine Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.