Active NPI
Brian Kurtz, DO
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.135878
- Practice address
- 4318 S State St
Chicago, IL 60609-3701 - Phone
- (773) 285-9304
- Fax
- (773) 564-3501
- NPI assigned
- Jan 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036.135878 | IL | Primary |
Addresses
Primary practice location
4318 S State St
Chicago, IL 60609-3701
Mailing address
213 N Racine Ave
Suite 100
Chicago, IL 60607-1644
Phone (312) 733-9730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5050 Parkside Ave
Philadelphia, PA 19131-4714
Phone (312) 600-8484
Hospital & facility affiliations
- Penn Medicine Home Health
- Main Line Hospital Lankenau
- Penn Presbyterian Medical Center
- Glendale Home-Schdy Cnty Dept Social Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.135878 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh - PA Physicians Group, PC | Internal Medicine | Current | Accepting new patients |
| Schenectady County | Past | Accepting new patients | |
| Oak Street Physician Services LLC | Internal Medicine | Past | Accepting new patients |
Locations
30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758
5050 Parkside Ave
Philadelphia, PA 19131
Phone (215) 390-1742
3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484
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.
-
- Primary Care Clinic/Center
- Philadelphia, PA
- NPI 1811405533
Internal Medicine
-
- Family Medicine Physician
- Chicago, IL
- NPI 1609234202
Internal Medicine
-
- Skilled Nursing Facility
- Scotia, NY
- NPI 1871631689
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
- Home Health Agency
- Bala Cynwyd, PA
- NPI 1992746366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1831469253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 N RACINE AVE",
"address_2": "SUITE 100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071644",
"telephone_number": "312-733-9730",
"fax_number": "773-866-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4318 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606093701",
"telephone_number": "773-285-9304",
"fax_number": "773-564-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "BRIAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-02",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.135878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.