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JOHN STATHOPOULOS
NPI 1205577939
Internal Medicine in Chicago, IL

Active since April 05, 2022PECOS Enrolled
1620 W HARRISON ST, CHICAGO, IL 60612(312) 942-5000 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, Apr 5, 2022 (2 updates tracked since 2022).

About John Stathopoulos NPPES

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

JOHN STATHOPOULOS (NPI 1205577939) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125082637) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1205577939
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN STATHOPOULOS
Location Address1620 W HARRISON STChicago, IL 60612-3801
Mailing Address1620 W Harrison StChicago, IL 60612-3801 · (312) 942-5000
Phone(312) 942-5000
Sole ProprietorYes
Enumeration DateApril 5, 2022
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1205577939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125082637
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1620 W HARRISON ST, Chicago, IL 60612
Open in Google Maps ↗

Secondary Practice Location 1

Location 1333 Borthwick AvePortsmouth, NH 03801-7128 · Phone (603) 436-5110

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Stathopoulos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

NICHOLAS RIGLER
Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
KABEER RAJAN MASIH MD
Radiology (Vascular & Interventional Radiology)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
MARGARET C SCHERMERHORN MD
Obstetrics & Gynecology
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
ANDREW MAX MELCHIORIS MD, MBA
Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (314) 942-5000
NICOLE HALEY SULIMA DNP
Nurse Practitioner (Gerontology)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
KRINA PATEL MD
Psychiatry & Neurology (Psychiatry)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
LAYNE MITCHELL BESSA
Registered Nurse
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
COLETTE MITCHELL OT
Occupational Therapist
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Stathopoulos's NPI number?

The NPI number for John Stathopoulos is 1205577939. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is John Stathopoulos located?

John Stathopoulos practices at 1620 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 942-5000.

What is John Stathopoulos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Stathopoulos enrolled in Medicare?

Yes. John Stathopoulos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Stathopoulos was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.