Individual provider Active NPI

Paul A Knepper Jr., MD, PH.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1710080825
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Practice address
150 E Huron St
Suite 1000
Chicago, IL 60611-2999
Phone
(312) 337-1285
Fax
(312) 337-1452
NPI assigned
Sep 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X IL Primary

Addresses

Primary practice location

150 E Huron St
Suite 1000
Chicago, IL 60611-2999

Mailing address

150 E Huron St
Suite 1000
Chicago, IL 60611-2999
Phone (312) 337-1285

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
I20120430000321 IL Practitioner - Ophthalmology 7113189622 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036043045ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zibute G Zaparackas MD and Paul a Knepper MD LTD Ophthalmology CurrentSince Feb 1, 2012 Accepting new patients
Zibute G. Zaparackas, MD and Paul a. Knepper, MD, PHD, LTD. Ophthalmology Current Accepting new patients

Locations

150 E Huron St
Ste 1000
Chicago, IL 60611
Phone (312) 337-1285

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710080825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E HURON ST",
            "address_2": "SUITE 1000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112999",
            "telephone_number": "312-337-1285",
            "fax_number": "312-337-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E HURON ST",
            "address_2": "SUITE 1000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112999",
            "telephone_number": "312-337-1285",
            "fax_number": "312-337-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEPPER",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "MD, PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.