Stanislaw Bryjak, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.112233 Issued in IL

Practice address

5215 N California Ave
Suite 603
Chicago, IL 60625-7014

Phone

(773) 275-1020

NPI assigned

May 11, 2006

Last updated

Oct 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reliance Home Health Care, Inc Home health agency, Rolling MDWS, IL, CCN 147991
• Uplift Home Health Care, LLC Home health agency, Schaumburg, IL, CCN 148398
• Residential Home Health Home health agency, Northbrook, IL, CCN 147001
• Unity Hospice of Chicagoland, LLC Hospice, Chicago, IL, CCN 141551
• Swedish Hospital Hospital, Chicago, IL, CCN 140114
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Aperion Care Wesley Nursing home, Chicago, IL, CCN 145591

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Endeavor Health Medical Group

  dba NorthShore University HealthSystem Faculty Practice Associates

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Swedish Covenant Management Services, Inc.

  dba Swedish Covenant Medical Group

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1760432348

  Family Medicine

  Medicare reassignment NPD
• Endeavor Health Medical Group

  dba NorthShore Anesthesia Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• Swedish Covenant Management Services, Inc

  dba Swedish Emergency Medicine

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1962049551
  NPD
• Swedish Covenant Management Services, Inc.

  dba Comprehensive Wellness Care

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1407002108

  Family Medicine

  NPD

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

• Aperion Care Wesley LLC

  dba Aperion Care Wesley

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1093589301

  Nursing home

  Care Compare affiliation
• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Reliance Home Health Care, Inc.

  • Home Health Agency
  • Rolling Meadows, IL
  • NPI 1588723654
  Care Compare affiliation
• Residential Home Health Illinois, LLC

  dba Residential Home Health

  • Home Health Agency
  • Northbrook, IL
  • NPI 1114673787
  Care Compare affiliation
• Swedish Covenant Health

  dba Endeavor Health Swedish Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1831151257
  Care Compare affiliation
• Unity Hospice of Chicagoland LLC

  • Community Based Hospice Care Agency
  • Chicago, IL
  • NPI 1598844474
  Care Compare affiliation
• Uplift Home Health Care, LLC.

  • Home Health Agency
  • Schaumburg, IL
  • NPI 1306511332
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1932159126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "LL7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE",
            "address_2": "SUITE 603",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257014",
            "telephone_number": "773-275-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYJAK",
        "first_name": "STANISLAW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.112233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036112233",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbryjak277053@direct.northshore.org",
            "affiliation": "N",
            "address_1": "5215 N California Ave",
            "address_2": "SUITE 603",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606257014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Takiarah Bryant
• Wanda Bryant, DT
• Bryant's Transportation Services, LLC
• Paul Bryar, MD
• Tanisha Brydie
• Megan Bryk
• Michele Bryk, PA
• Lauren Elizabeth Bryl, MS, LCGC
• Katie Marie Bryll, CPNP
• Bryn Mawr Care, Inc.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.