Active NPI
Patricia J Karstaedt, M.D.
- Diagnostic Radiology Physician
- Chicago, IL
National Provider Identifier
1891779328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036122593
- Practice address
- 250 E Superior St
Lynn Sage Breast Center, 4TH Floor
Chicago, IL 60611-2914 - Phone
- (312) 472-0436
- NPI assigned
- Nov 29, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036122593 | IL | Primary |
Addresses
Primary practice location
250 E Superior St
Lynn Sage Breast Center, 4TH Floor
Chicago, IL 60611-2914
Mailing address
250 E Superior St
Lynn Sage Breast Center, 4TH Floor
Chicago, IL 60611-2914
Phone (312) 472-0436
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86080015085260A040 | Other | AZ | TRIWEST |
| 300077586 | Other | AZ | RR MEDICARE |
| 389694 | Medicaid | AZ | |
| 86080015085259A369 | Other | AZ | TRIWEST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036122593 | IL | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1891779328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E SUPERIOR ST",
"address_2": "LYNN SAGE BREAST CENTER, 4TH FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112914",
"telephone_number": "312-472-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E SUPERIOR ST",
"address_2": "LYNN SAGE BREAST CENTER, 4TH FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112914",
"telephone_number": "312-472-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARSTAEDT",
"first_name": "PATRICIA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036122593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "86080015085260A040",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300077586",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "389694",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "86080015085259A369",
"state": "AZ"
}
],
"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 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.