Roland Mariusz Kitlas, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036139515 Issued in IL

Practice address

3880 Salem Lake Dr
Suite F
Long Grove, IL 60047-5292

Phone

(847) 719-2220

Fax

(847) 719-2265

NPI assigned

Jul 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

Internal Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Best Practices Inpatient Care, LTD.Group PAC ID 5799687372, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Meridian Home Health Care Services, Inc Home health agency, Libertyville, IL, CCN 148006
• Innova Care Home health agency, Rosemont, IL, CCN 147733
• Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
• Accentcare Home Health of Illinois Home health agency, Lombard, IL, CCN 147811
• Guardian Home Health Care, LLC Home health agency, Northfield, IL, CCN 147785
• Accord Hospice Hospice, Deerfield, IL, CCN 141650
• Suncrest Hospice Illinois LLC Hospice, Northbrook, IL, CCN 141696
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Radford Green Nursing home, Lincolnshire, IL, CCN 146136

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roland.kitlas.1@4048.direct.athenahealth.com
• Direct secure messaging: rkitlas234444@direct.myadvocateaurora.org

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.

• Best Practices Inpatient Care, LTD.

  • Internal Medicine Physician
  • Barrington, IL
  • NPI 1619913522
  Medicare reassignment Care Compare group NPD
• Best Practices Inpatient Care,LTD

  • Internal Medicine Physician
  • Wyoming, MI
  • NPI 1417240946
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accord Hospice, Inc.

  • Community Based Hospice Care Agency
  • Deerfield, IL
  • NPI 1487946810
  Care Compare affiliation
• Ehs Home Health Care Service Inc

  • Home Health Agency
  • Oak Brook, IL
  • NPI 1598732075
  Care Compare affiliation
• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Guardian Home Health Care LLC

  • Home Health Agency
  • Northfield, IL
  • NPI 1366439655
  Care Compare affiliation
• Health Resources Solutions Inc

  • Home Health Agency
  • Lombard, IL
  • NPI 1528094109
  Care Compare affiliation
• Meridian Home Health Care Services, Inc.

  • Home Health Agency
  • Libertyville, IL
  • NPI 1073633392
  Care Compare affiliation
• Sedgebrook Opco SL-VII LLC

  • Skilled Nursing Facility
  • Lincolnshire, IL
  • NPI 1013403195

  Nursing home

  Care Compare affiliation
• Suncrest Hospice Illinois LLC

  • Community Based Hospice Care Agency
  • Northbrook, IL
  • NPI 1003340050
  Care Compare affiliation
• Superior Home Health LLC

  • Home Health Agency
  • Rosemont, IL
  • NPI 1932214285
  Care Compare affiliation

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821439316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SALEM LAKE DR",
            "address_2": "SUITE F",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475292",
            "telephone_number": "847-719-2220",
            "fax_number": "847-719-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SALEM LAKE DR",
            "address_2": "SUITE F",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475292",
            "telephone_number": "847-719-2220",
            "fax_number": "847-719-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITLAS",
        "first_name": "ROLAND",
        "middle_name": "MARIUSZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036139515",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036139515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821439316",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkitlas234444@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3880 Salem Lake Dr",
            "address_2": "SUITE F",
            "city": "Long Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600475292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2",
            "affiliation": "N",
            "address_1": "3880 Salem Lake Dr",
            "address_2": "SUITE F",
            "city": "Long Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600475292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Priya Katwala
• Johnny Khamoo, MD
• Mahjabeen Khan, MD
• Kyonghui Angela Kim, RN
• Volodimir Kisil
• Jeffry W Kreamer, D.O.
• Wendy S Krieger-Erickson, L.C.P.C.
• Melissa Kron, MA, CCC-SLP
• Emanuela Anna Kulach, D.O
• Sindhu Kurup, MD

• Internal Medicine Physician in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.