Individual provider Active NPI

Nikta Pirouz, CPO

  • Specialist
  • Chicago, IL
National Provider Identifier
1730525239
Registry record updated May 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
213.00305 Issued in IL
Practice address
2515 N Clark St
Suite 802 Box 46
Chicago, IL 60614-2730
Phone
(312) 227-6210
NPI assigned
May 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 213.00305 IL Primary
Specialist 174400000X 211000267 IL

Addresses

Primary practice location

2515 N Clark St
Suite 802 Box 46
Chicago, IL 60614-2730

Mailing address

2515 N Clark St
Suite 802 Box 46
Chicago, IL 60614-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
211000267ILMDSpecialist
213.00305ILMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1368316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368316800000",
    "number": "1730525239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 N CLARK ST",
            "address_2": "SUITE 802 BOX 46",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 N CLARK ST",
            "address_2": "SUITE 802 BOX 46",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142730",
            "telephone_number": "312-227-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIROUZ",
        "first_name": "NIKTA",
        "name_prefix": "Ms.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-12",
        "last_updated": "2013-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "213.00305",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "211000267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.