Organization Active NPI

Darius Bliznikas MD SC

  • Otolaryngology Physician
  • Palos Heights, IL
National Provider Identifier
1750734778
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036109618 Issued in IL
Legal business name
DARIUS BLIZNIKAS MD SC
Practice address
7110 W 127TH St Ste 210
Palos Heights, IL 60463-1580
Phone
(312) 593-0886
NPI assigned
Jul 14, 2016
Last updated
Jul 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Dr. Darius Bliznikas, MDNPI 1235340449
Title
Physician
Phone
(312) 593-0886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 036109618 IL Primary

Addresses

Primary practice location

7110 W 127TH St Ste 210
Palos Heights, IL 60463-1580

Mailing address

60 E Monroe St Unit 3808
Chicago, IL 60603-2754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160809000082 IL Part B Supplier - Clinic/Group Practice 7517251937 Receives reassigned benefits from 1 practitioner
Practice locations: Palos Heights, IL

National Provider Directory

National Provider Directory

Locations

7110 W 127th St
Ste 210
Palos Heights, IL 60463
Phone (312) 593-0886

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1750734778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E MONROE ST UNIT 3808",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 W 127TH ST STE 210",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631580",
            "telephone_number": "312-593-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIUS BLIZNIKAS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "BLIZNIKAS",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "312-593-0886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036109618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.