Individual provider Active NPI

Mark Karides, MD

  • Hematology & Oncology Physician
  • Chicago, IL
National Provider Identifier
1932206307
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036081870 Issued in IL
Practice address
7447 W Talcott Ave
Suite One
Chicago, IL 60631-3745
Phone
(773) 774-0042
Fax
(773) 774-2008
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036081870 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave
Suite One
Chicago, IL 60631-3745

Mailing address

7447 W Talcott Ave
Suite One
Chicago, IL 60631-3745
Phone (773) 774-0042

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mkarides252388@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20110208000268 IL Practitioner - Hematology/Oncology 2264330844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Cancer SpecialistsGroup PAC ID 5597665752, 26 clinicians

Practice addresses (Care Compare)

7447 W Talcott Ave
Suite 1
Chicago, IL 60631-3712
Phone (773) 774-0042

Hospital & facility affiliations

  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Holy Family Medical Center Long-term care hospital, Des Plaines, IL, CCN 142011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036081870ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Cancer Specialists Hematology & Oncology CurrentSince Jul 1, 2018 Accepting new patients

Locations

25070 Network Pl
Chicago, IL 60673
Phone (847) 585-7000

7447 W Talcott Ave
Ste 1
Chicago, IL 60631
Phone (773) 774-0042

8915 W Golf Rd
Niles, IL 60714
Phone (847) 692-9255

Interoperability endpoints

  • Direct secure messaging: mark.karides@ics.ikm.direct-ci.com

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 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1932206307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE ONE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-774-0042",
            "fax_number": "773-774-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE ONE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-774-0042",
            "fax_number": "773-774-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIDES",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036081870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkarides252388@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7447 W Talcott Ave",
            "address_2": "Suite One",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7447 W Talcott Ave",
            "address_2": "Suite One",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.