Individual provider Active NPI

Armen Kelikian, MD

  • Orthopaedic Surgery Physician
  • Chicago, IL
National Provider Identifier
1790737757
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036-055524 Issued in IL
Practice address
680 N Lake Shore Dr
Suite 1028
Chicago, IL 60611-4546
Phone
(312) 664-6848
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 036-055524 IL Primary

Addresses

Primary practice location

680 N Lake Shore Dr
Suite 1028
Chicago, IL 60611-4546

Mailing address

680 N Lake Shore Dr
Attn: Lilli Kornblum
Chicago, IL 60611-4546
Phone (312) 475-5536

Other identifiers 1

IdentifierTypeStateIssuer
036-055524MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akelikian230578@direct.northshore.org

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
I20061114000480 IL Practitioner - Orthopedic Surgery 5294647327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2100 Pfingsten Rd
Glenview, IL 60026-1301

2650 Ridge Ave
Evanston, IL 60201-1700

680 N Lake Shore Dr
Suite 924
Chicago, IL 60611-8701
Phone (312) 664-6848

9600 Gross Point Rd
Skokie, IL 60076-1214

9650 Gross Point Rd
Skokie, IL 60076-5080

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-055524ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 20, 2011 Accepting new patients
Endeavor Health Medical Group Orthopaedic Surgery CurrentSince Dec 20, 2011 Accepting new patients
Endeavor Health Clinical Operations Past Accepting new patients

Locations

680 N Lake Shore Dr
Chicago, IL 60611
Phone (312) 503-6000

680 N Lake Shore Dr
Ste 924
Chicago, IL 60611
Phone (312) 475-5628

680 N Lake Shore Dr
Ste 1028
Chicago, IL 60611
Phone (312) 335-9333

9532 Eagle Way
Chicago, IL 60678

1942 W Fullerton Ave
Chicago, IL 60614

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

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

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

2180 Pfingsten Rd
Ste 3100
Glenview, IL 60026
Phone (312) 664-6848

2501 Compass Rd
Ste 125
Glenview, IL 60026
Phone (847) 250-1130

Organizations & group practices 3

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 5

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1790737757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "ATTN: LILLI KORNBLUM",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-475-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "SUITE 1028",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-664-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELIKIAN",
        "first_name": "ARMEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-055524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-055524",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akelikian230578@direct.northshore.org",
            "affiliation": "N",
            "address_1": "680 N Lake Shore Dr",
            "address_2": "Suite 1028",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606114546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.