CARL VANCOL MD
NPI 1245222454
Family Medicine - Adult Medicine in Chicago, IL

Q: What is Carl Vancol's NPI number?

The NPI number for Carl Vancol is 1245222454. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Q: What is Carl Vancol's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Carl Vancol was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment

45 W 111TH ST, SUITE 304, CHICAGO, IL 60628(773) 995-3463 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Sep 11, 2025 (2 updates tracked since 2025).

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About Carl Vancol Md NPPES

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

CARL VANCOL MD (NPI 1245222454) is an individual adult medicine provider in Chicago, Illinois, licensed in Illinois (036098516) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Roseland Community Hospital, and maintains a secondary practice location in Harvey.

NPPES Registry Identity

NPI1245222454

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameCARL VANCOLCredential: MD

Location Address45 W 111TH ST, SUITE 304Chicago, IL 60628-4200

Mailing Address8646 S Saginaw AveChicago, IL 60617-2422 · (773) 768-0811

Phone(773) 995-3463

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1994

Enumeration DateAugust 16, 2005

Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1245222454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in IL · 036098516

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036098516 (IL)

Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License 036098516 (IL)

45 W 111TH ST, Chicago, IL 60628

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Secondary Practice Location 1

Location 131 W 155th StHarvey, IL 60426-3556 · Phone (708) 596-5177 ext. 2726 · Fax (708) 596-5518

Other Identifiers 4

Medicaid036098516IL

Other1625687IL · Bcbs Illinois

Other0001633398IL · Blue Cross Blue Shield

Other080193944IL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

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

Carl Vancol Md 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 ID9739186966

PECOS Enrollment IDI20061101000490

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth G0406

A follow-up inpatient consultation is a brief, 15-minute check-in with your doctor via telehealth. This allows your physician to monitor your progress, address any concerns, and adjust your treatment plan if necessary. It's an essential part of your ongoing care.

311 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

169 services16 patients

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425

A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.

40 services33 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Roseland Community Hospital

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140068

Location45 W 111th StreetChicago, IL 60628 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60628 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier18 claims18 services$15.72 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier18 claims18 services$67.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SHAKIRA AYANLAJA APN

Nurse Practitioner (Family)