Nickolas Katsoulakis, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036123759 Issued in IL

Practice address

7340 W College Dr
2ND Floor
Palos Heights, IL 60463-1159

Phone

(708) 361-7800

Fax

(708) 361-8737

NPI assigned

Apr 19, 2007

Last updated

Feb 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 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

Ophthalmology

Education

State University of New York - State College Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Krates Eye Centers PLLCGroup PAC ID 6608317706, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062

Merit-based Incentive Payment System (MIPS)

Final score

89.33 of 100Reported as group

Quality

87.29

Improvement activities

40

Cost

81.37

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nkatsoulakis@krateseye.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Krates Eye Centers PLLC

  • Ophthalmology Physician
  • Palos Heights, IL
  • NPI 1184470387
  Medicare reassignment Care Compare group NPD Authorized official
• Stephen G Krates DO PC

  dba Krates Eye Centers

  • Ophthalmology Physician
  • Palos Heights, IL
  • NPI 1417170085
  Medicare reassignment NPD
• Ophthalmic Consultants Corneal and Refractive Surgery Associates PC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1013011105
  NPD (past)

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

• Palos Community Hospital

  • Psychiatric Hospital Unit
  • Palos Heights, IL
  • NPI 1184699118
  Care Compare affiliation
• Palos Community Hospital

  • General Acute Care Hospital
  • Palos Heights, IL
  • NPI 1851386692
  Care Compare affiliation

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1902023088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 W COLLEGE DR",
            "address_2": "2ND FLOOR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631159",
            "telephone_number": "708-361-7800",
            "fax_number": "708-361-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 W COLLEGE DR",
            "address_2": "2ND FLOOR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631159",
            "telephone_number": "708-361-7800",
            "fax_number": "708-361-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSOULAKIS",
        "first_name": "NICKOLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "LP00389",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "247724",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036123759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "650A31",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "P00673435",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen L. Opferman, D.D.S., P.C.
• Brian Marc Karshen, D.D.S.
• Magdalena Karwaczka
• Susan Katello, APRN
• Katherine M Narbone OD & Joanna M Luty OD PC
• Patrick Thomas Kaulen Jr., PSYD
• Aaron M Kearney, M.D.
• Kenneth A. Kehl, D.D.S.
• Patricia Rose Kehoe, NP
• Kyle Kelly, PTA

• Ophthalmology Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.