THERESA KRISTOPAITIS MD
NPI 1255306387
Hospitalist in Maywood, IL

Q: What is Theresa Kristopaitis's NPI number?

The NPI number for Theresa Kristopaitis is 1255306387. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Theresa Kristopaitis's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, (EMS BLDG., R. 2209), MAYWOOD, IL 60153(708) 216-3250(708) 216-2620 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 11, 2021, Mar 31, 2017 (2 updates tracked since 2017).

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About Theresa Kristopaitis Md NPPES

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

THERESA KRISTOPAITIS MD (NPI 1255306387) is an individual hospitalist provider in Maywood, Illinois, licensed in Illinois (036092517) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Illinois Medical College (1993).

NPPES Registry Identity

NPI1255306387

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameTHERESA KRISTOPAITISCredential: MD

Location Address2160 S 1ST AVE, (EMS BLDG., R. 2209)Maywood, IL 60153

Mailing Address2160 S 1st Ave, (ems Bldg., R. 2209)Maywood, IL 60153 · (708) 216-3250 · Fax (708) 216-2620

Phone(708) 216-3250

Fax(708) 216-2620

Sole ProprietorNo

Medical School CMSIllinois Medical CollegeGraduated 1993

Enumeration DateFebruary 22, 2006

Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration

NPPES CertifiedNovember 11, 2021

✔ NPI 1255306387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IL · 036092517

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 36092517 (IL)

2160 S 1ST AVE, Maywood, IL 60153

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Other Identifiers 1

Medicaid36092517IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Kristopaitis 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 ID9638109754

PECOS Enrollment IDI20050818000524

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.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Kristopaitis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Loyola University Medical Center

0.1 mi

General Practice

2160 S 1ST AVE
Maywood, IL 60153

Reassigned Medicare billing, Illinois enrollment
1,138 clinicians in this Medicare group

NPI 1336159961 (708) 216-3215

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

40 services39 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.

37 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

32 services25 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

24 services24 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services17 patients

Hospital Affiliations CMS Care Compare

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

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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.

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)