NPIMap

Individual provider Active NPI

Mitchell Goldflies, M.D.

  • Orthopaedic Surgery Physician
  • Chicago, IL
National Provider Identifier
1730189598
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036052967 Issued in IL
Practice address
6445 N Central Ave
Chicago, IL 60646-2901
Phone
(773) 792-3311
Fax
(773) 775-6212
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036052967 IL Primary

Addresses

Primary practice location

6445 N Central Ave
Chicago, IL 60646-2901

Mailing address

6445 N Central Ave
Chicago, IL 60646-2901
Phone (773) 792-3311

Other identifiers 1

IdentifierTypeStateIssuer
036052967MedicaidIL

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
I20110218000267 IL Practitioner - Orthopedic Surgery 1951582303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Chicago College of Medicine and Surgery, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thorek Memorial HospitalGroup PAC ID 4981593399, 49 clinicians

Practice addresses (Care Compare)

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4425

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 525-6780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.04 of 100Reported as group
Quality
53.2
Promoting interoperability
89
Improvement activities
40
Cost
76.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thorek Radiology Group NFP Current Accepting new patients
Thorek Memorial Hospital CurrentSince Jun 4, 2018 Accepting new patients
Mitchell Goldflies MD SC Orthopaedic Surgery CurrentSince Jan 2, 1981 Accepting new patients
Metabolic Reset Weight Loss, S.C. CurrentSince Mar 1, 2022 Accepting new patients
Thorek Memorial Hospital CurrentSince Jun 4, 2018 Accepting new patients

Locations

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

6445 N Central Ave
Chicago, IL 60646
Phone (773) 202-8800

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2875 W 19th St
Fl 2
Chicago, IL 60623
Phone (773) 229-1414

17023 Harlem Ave
Tinley Park, IL 60477
Phone (708) 614-1222

Organizations & group practices 5

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 11

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1730189598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462901",
            "telephone_number": "773-792-3311",
            "fax_number": "773-775-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462901",
            "telephone_number": "773-792-3311",
            "fax_number": "773-775-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFLIES",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036052967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052967",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.