Individual provider Active NPI

Karen J Mass, MD

  • Obstetrics & Gynecology Physician
  • Lake Forest, IL
National Provider Identifier
1710179759
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-093084 Issued in IL
Practice address
840 S Waukegan Rd Ste 208
Lake Forest, IL 60045-2619
Phone
(847) 295-0433
Fax
(847) 234-0034
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-093084 IL Primary

Addresses

Primary practice location

840 S Waukegan Rd Ste 208
Lake Forest, IL 60045-2619

Mailing address

475 McCormick Dr
Lake Forest, IL 60045-3349
Phone (847) 615-9376

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
I20050824000196 IL Practitioner - Obstetrics/Gynecology 6507897287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1475 E Belvidere Rd
Suite 212
Grayslake, IL 60030-2015
Phone (847) 295-0433

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score
90.01 of 100Reported as individual
Quality
94.22
Improvement activities
40
Cost
74.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-093084ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Specialty Care SC Obstetrics & Gynecology CurrentSince Feb 11, 2002 Accepting new patients

Locations

1475 E Belvidere Rd
Ste 212
Grayslake, IL 60030
Phone (847) 295-0433

840 S Waukegan Rd
Ste 208
Lake Forest, IL 60045
Phone (847) 295-0433

900 N Westmoreland Rd
Ste 225
Lake Forest, IL 60045
Phone (847) 295-0433

900 N Westmoreland Rd
Ste 223
Lake Forest, IL 60045
Phone (847) 295-0584

Interoperability endpoints

  • Direct secure messaging: karen.mass.1@2494.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2494/brand/1/csg/1/fhir/r4

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 5

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1710179759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 MCCORMICK DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453349",
            "telephone_number": "847-615-9376",
            "fax_number": "847-615-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S WAUKEGAN RD STE 208",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452619",
            "telephone_number": "847-295-0433",
            "fax_number": "847-234-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASS",
        "first_name": "KAREN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2024-03-07",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-093084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.