MS. ELISABETH L STARK
NPI 1124575915
Obstetrics & Gynecology in Chicago, IL

Q: What is Elisabeth Stark's NPI number?

The NPI number for Elisabeth Stark is 1124575915. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Q: What is Elisabeth Stark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Elisabeth Stark was last updated on September 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 08, 2016PECOS EnrolledAccepts Medicare Assignment

675 N SAINT CLAIR ST STE 14-200, CHICAGO, IL 60611(312) 695-7382(312) 695-0014 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Elisabeth L Stark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELISABETH L STARK (NPI 1124575915) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036170933) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1124575915

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMS. ELISABETH L STARK

Location Address675 N SAINT CLAIR ST STE 14-200Chicago, IL 60611-5966

Mailing Address675 N Saint Clair St Ste 14-200Chicago, IL 60611-5966 · (312) 695-7382 · Fax (312) 695-0014

Phone(312) 695-7382

Fax(312) 695-0014

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2020

Enumeration DateSeptember 8, 2016

Last NPPES UpdateSeptember 12, 2024

NPPES CertifiedSeptember 12, 2024

✔ NPI 1124575915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036170933

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

675 N SAINT CLAIR ST STE 14-200, Chicago, IL 60611

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Secondary Practice Location 1

Location 1240 E Huron St Ste 1-200Chicago, IL 60611-2909 · Phone (312) 503-7975

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Elisabeth L Stark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274958699

PECOS Enrollment IDI20240826001434

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SARA MARIE SPENCER M.S., C.G.C.

Genetic Counselor, MS