NISSIM STOLBERG D.O
NPI 1124412416
Pediatrics - Pediatric Rheumatology in Chicago, IL
NPI Status: Active since March 24, 2015
Contact Information
2652 W GREENLEAF AVE
APT #2
CHICAGO, IL
ZIP 60645
Phone: (773) 701-2085
- Individual
- Male
- Pediatrics
- Pediatric Rheumatology
- PECOS Enrolled
About NISSIM STOLBERG
This page provides the complete NPI Profile along with additional information for Nissim Stolberg, a pediatrician established in Chicago, Illinois with a medical specialization in Pediatrics, focusing in pediatric rheumatology . The healthcare provider is registered in the NPI registry with number 1124412416 assigned on March 2015. The practitioner's primary taxonomy code is 2080P0216X with license number 036157013 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1124412416
- Provider Name
- NISSIM STOLBERG D.O
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2652 W GREENLEAF AVE APT #2 CHICAGO, IL 60645
- Location Phone
- (773) 701-2085
- Mailing Address
- 9332 TRIPP AVE APT 2 SKOKIE, IL 60076
- Mailing Phone
- (773) 701-2085
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-24-2015
- Last Update Date
- 03-21-2025
- Code Navigator
A pediatrician like Nissim Stolberg is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 1740 W Taylor St
Chicago, IL 60612
(312) 996-7416
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Rheumatology
- Taxonomy Code
- 2080P0216X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036157013
- License State
- IL
- Taxonomy Description
- A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 036157013 (IL) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Nissim Stolberg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124412416, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124412416, enumerated as an "individual" on March 24, 2015.
The provider is located at 2652 W GREENLEAF AVE APT #2 CHICAGO, IL 60645 and the phone number is (773) 701-2085.
Pediatrics with taxonomy code 2080P0216X and a focus in Pediatric Rheumatology.
