Organization Active NPI

Cardiothoracic & Vascular Surgical Associates S C

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oak Lawn, IL
National Provider Identifier
1780679407
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES S C
Practice address
4400 W 95TH St Ste 308
Oak Lawn, IL 60453-2660
Phone
(708) 346-4040
Fax
(708) 346-3287
NPI assigned
Sep 19, 2005
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Dr. Patroklos Steven Pappas, M.D.NPI 1265427942
Title
President/Shareholder
Phone
(708) 346-4040

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X NU
Vascular Surgery Physician 2086S0129X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU Primary
Surgical Physician Assistant 363AS0400X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

4400 W 95TH St Ste 308
Oak Lawn, IL 60453-2660

Mailing address

1901 S Meyers Rd Ste 158
Oakbrook Terrace, IL 60181-5278
Phone (708) 346-4044

Other identifiers 2

IdentifierTypeStateIssuer
01618941OtherILBLUE CROSS BLUE SHIELD
304044982001MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040720000816 IL Part B Supplier - Clinic/Group Practice 7214916402 Receives reassigned benefits from 62 practitioners
Practice locations: Barrington, IL; Oak Lawn, IL; Libertyville, IL; Kankakee, IL; Hoffman Estates, IL; Elk Grove Village, IL; Elgin, IL; Chicago, IL…

National Provider Directory

National Provider Directory

Locations

1100 W Central Rd
Ste 408
Arlington Hts, IL 60005
Phone (847) 392-0400

1900 Ogden Ave
Ste 202
Aurora, IL 60504
Phone (306) 405-0713

27750 W Il Route 22
Ste 100
Barrington, IL 60010
Phone (847) 816-3000

12935 Gregory St
Fl 1
Blue Island, IL 60406
Phone (708) 371-2057

2310 York St
#3A
Blue Island, IL 60406
Phone (708) 371-2057

1725 W Harrison St
Ste 1156
Chicago, IL 60612
Phone (312) 563-2762

7447 W Talcott Ave
Ste 512
Chicago, IL 60631
Phone (773) 237-8722

1435 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (847) 695-1620

800 Biesterfield Rd
Ste 205
Elk Grove Vlg, IL 60007
Phone (847) 228-6543

800 Biesterfield Rd
Ste 4005
Elk Grove Vlg, IL 60007
Phone (847) 593-4116

800 Austin St
Ste E363
Evanston, IL 60202
Phone (847) 491-1755

120 N Oak St
#2
Hinsdale, IL 60521
Phone (630) 568-3882

120 N Oak St
Rm 2217
Hinsdale, IL 60521
Phone (630) 568-3882

400 N Wall St
Ste 302
Kankakee, IL 60901
Phone (815) 933-4400

675 W North Ave
Ste 214A
Melrose Park, IL 60160
Phone (708) 681-7894

120 Spalding Dr
Ste 303
Naperville, IL 60540
Phone (630) 527-5575

1300 Franklin Ave
Ste 350
Normal, IL 61761
Phone (309) 268-3240

1901 S Meyers Rd
Ste 158
Oakbrook Terrace, IL 60181

20060 Governors Dr
Ste 300B
Olympia Fields, IL 60461
Phone (855) 707-8346

1201 S Main St
Ofc
Crown Point, IN 46307
Phone (219) 757-6390

297 W Franciscan Dr
Ste 207
Crown Point, IN 46307
Phone (219) 757-6410

5454 Hohman Ave
Fl 1
Hammond, IN 46320
Phone (219) 933-2299

301 W Homer St
Fl 2
Michigan City, IN 46360
Phone (219) 861-8637

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

Practitioners & affiliated clinicians

Practitioners 118

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.

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1780679407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S MEYERS RD STE 158",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601815278",
            "telephone_number": "708-346-4044",
            "fax_number": "708-346-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W 95TH ST STE 308",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532660",
            "telephone_number": "708-346-4040",
            "fax_number": "708-346-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOTHORACIC & VASCULAR SURGICAL ASSOCIATES S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "PATROKLOS",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT/SHAREHOLDER",
        "authorized_official_telephone_number": "708-346-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01618941",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304044982001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.