Individual provider Active NPI

Dean Kravis, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Niles, IL
National Provider Identifier
1881620458
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036075285 Issued in IL
Practice address
9101 N Greenwood Ave
Suite 207
Niles, IL 60714-1499
Phone
(847) 699-1900
Fax
(847) 699-1925
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036075285 IL Primary

Addresses

Primary practice location

9101 N Greenwood Ave
Suite 207
Niles, IL 60714-1499

Mailing address

9101 N Greenwood Ave
Suite 207
Niles, IL 60714-1499
Phone (847) 699-1900

Other identifiers 1

IdentifierTypeStateIssuer
036075285MedicaidIL

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
I20071221000429 IL Practitioner - Endocrinology 6507956976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Chicago, Pritzker School of Medicine, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Des Plaines Community Health Care Center IncGroup PAC ID 3678924404, 4 clinicians

Practice addresses (Care Compare)

380 E Northwest Hwy
Suite 200
Des Plaines, IL 60016-2274
Phone (847) 813-0700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036075285ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arvind Patel M.D.S.C. CurrentSince Jun 30, 2016 Accepting new patients
Des Plaines Community Health Care Center Inc CurrentSince Jan 18, 2024 Accepting new patients

Locations

380 E Northwest Hwy
Ste 200A
Des Plaines, IL 60016
Phone (847) 299-6400

380 E Northwest Hwy
Ste 200
Des Plaines, IL 60016
Phone (847) 299-6400

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

Interoperability endpoints

  • Direct secure messaging: dkravis252172@direct.myadvocateaurora.org

Organizations & group practices 2

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1881620458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 N GREENWOOD AVE",
            "address_2": "SUITE 207",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141499",
            "telephone_number": "847-699-1900",
            "fax_number": "847-699-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N GREENWOOD AVE",
            "address_2": "SUITE 207",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141499",
            "telephone_number": "847-699-1900",
            "fax_number": "847-699-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVIS",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036075285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075285",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.