Individual provider Active NPI

Foti T Chronopoulos, MD

  • Obstetrics & Gynecology Physician
  • Oak Lawn, IL
National Provider Identifier
1881750776
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036093775 Issued in IL
Practice address
5851 W 95TH St
Suite 400
Oak Lawn, IL 60453-2394
Phone
(708) 857-7230
Fax
(708) 425-5779
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036093775 IL Primary

Addresses

Primary practice location

5851 W 95TH St
Suite 400
Oak Lawn, IL 60453-2394

Mailing address

5851 W 95TH St
Suite 400
Oak Lawn, IL 60453-2362
Phone (708) 857-7230

Other identifiers 3

IdentifierTypeStateIssuer
0081647390OtherILBCBS
0071648348OtherILBCBS
036093775MedicaidIL

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
I20050318000786 IL Practitioner - Obstetrics/Gynecology 9739133729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foti Chronopoulos MD SCGroup PAC ID 2668426651, 6 clinicians

Practice addresses (Care Compare)

5851 W 95TH St
Suite 400
Oak Lawn, IL 60453-2415
Phone (708) 857-7230

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036093775ILMDObstetrics & Gynecology Physician

Organizations & group practices 1

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 6

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1881750776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST",
            "address_2": "SUITE 400",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532362",
            "telephone_number": "708-857-7230",
            "fax_number": "708-425-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST",
            "address_2": "SUITE 400",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532394",
            "telephone_number": "708-857-7230",
            "fax_number": "708-425-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRONOPOULOS",
        "first_name": "FOTI",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036093775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0081647390",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0071648348",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093775",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.