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Individual provider Active NPI

Louis Hiotis, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1710980339
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-108161 Issued in IL
Practice address
200 S. Michigan Avenue
#805
Chicago, IL 60604
Phone
(312) 922-3815
Fax
(312) 922-7449
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-108161 IL Primary

Addresses

Primary practice location

200 S. Michigan Avenue
#805
Chicago, IL 60604

Mailing address

200 S Michigan Avenue
#805
Chicago, IL 60604
Phone (312) 922-3815

Other identifiers 1

IdentifierTypeStateIssuer
036108161MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014001079 IL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4183684087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 S Michigan Ave
Suite 1400
Chicago, IL 60604-2426
Phone (312) 786-5990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-108161ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ami P Desai MD SC Internal Medicine Current Accepting new patients
Louis Hiotis MD SC Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Angelo a Costas MD SC Internal Medicine Current Accepting new patients
Shirley Lee Termolen MD SC Internal Medicine Current Accepting new patients
Michigan Avenue Internists Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
David a Vermylen MD SC Internal Medicine Current Accepting new patients

Locations

200 S Michigan Ave
Ste 1400
Chicago, IL 60604
Phone (312) 922-3815

200 S Michigan Ave
Ste 805
Chicago, IL 60604
Phone (312) 922-3815

Organizations & group practices 6

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 7

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1710980339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MICHIGAN AVENUE",
            "address_2": "#805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60604",
            "telephone_number": "312-922-3815",
            "fax_number": "312-922-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S. MICHIGAN AVENUE",
            "address_2": "#805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60604",
            "telephone_number": "312-922-3815",
            "fax_number": "312-922-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIOTIS",
        "first_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-108161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108161",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.