Individual provider Active NPI

James George Delis, D.O.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1750393286
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-091115 Issued in IL
Practice address
635 N Fairbanks CT
Chicago, IL 60611-5435
Phone
(312) 472-3173
Fax
(312) 472-3173
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-091115 IL Primary

Addresses

Primary practice location

635 N Fairbanks CT
Chicago, IL 60611-5435

Mailing address

635 N Fairbanks CT
Chicago, IL 60611-5435
Phone (312) 472-3173

Other identifiers 2

IdentifierTypeStateIssuer
F400355168OtherILMEDICARE PTAN
F400355167OtherILMEDICARE PTAN

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
I20070412000188 IL Practitioner - Family PracticePractitioner - Preventive Medicine 3375648827 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ab Dermatology LLCGroup PAC ID 4789906322, 10 clinicians
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

3060 N Arlington Heights Rd
Arlington Heights, IL 60004-1530
Phone (847) 394-1202

635 N Fairbanks CT
FL 1
Chicago, IL 60611-5435
Phone (312) 472-3173

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of skin lesions2159
Skin biopsy551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-091115ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC CurrentSince Oct 1, 2022 Accepting new patients
Bodyworks Medical Center PLLC CurrentSince Jul 10, 2021 Accepting new patients
Ab Dermatology LLC CurrentSince Aug 1, 2017 Accepting new patients
Endeavor Health Medical Group Family Medicine CurrentSince Feb 6, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 6, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2018 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Sep 1, 2007 Accepting new patients
Bodyworks Medical Center of Geneva PLLC CurrentSince Jul 7, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2018 Accepting new patients
Vein Clinics of Chicago LLC Past Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients
Des Plaines Dermatology, LTD. Past Accepting new patients
Delis Family Medical, S.C. Family Medicine Past Accepting new patients

Locations

3060 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (847) 394-1202

3060 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 394-1202

605 W Central Rd
Ste 100
Arlington Hts, IL 60005
Phone (847) 394-4930

738 W Northwest Hwy
Barrington, IL 60010
Phone (847) 382-5111

159 S Bloomingdale Rd
Bloomingdale, IL 60108
Phone (630) 529-5950

270 W Army Trail Rd
Carol Stream, IL 60188
Phone (630) 517-5674

Dept 5777
Carol Stream, IL 60122

635 N Fairbanks Ct
Fl 1
Chicago, IL 60611
Phone (312) 472-3173

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

2740 W Foster Ave
Ste 316
Chicago, IL 60625
Phone (773) 561-8481

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

15 Tower Ct
Ste 200
Gurnee, IL 60031
Phone (847) 623-8755

750 Essington Rd
Joliet, IL 60435
Phone (815) 729-2160

1124 Essington Rd
Ste A
Joliet, IL 60435

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

820 Springer Dr
Lombard, IL 60148
Phone (708) 634-4602

2323 Naperville Rd
Ste 120
Naperville, IL 60563
Phone (630) 462-8680

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

923 S Randall Rd
St Charles, IL 60174
Phone (630) 517-5788

Organizations & group practices 13

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.

View all 13

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1750393286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N FAIRBANKS CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115435",
            "telephone_number": "312-472-3173",
            "fax_number": "312-472-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N FAIRBANKS CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115435",
            "telephone_number": "312-472-3173",
            "fax_number": "312-472-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIS",
        "first_name": "JAMES",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-091115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400355168",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400355167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.