DR. JAMES F KOOP M.D.
NPI 1255420451
Internal Medicine in Melrose Park, IL

Q: What is James Koop's NPI number?

The NPI number for James Koop is 1255420451. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is James Koop's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Koop was last updated on March 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 12, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 14D0699277 · Microscopy

675 W NORTH AVE, SUITE 409, MELROSE PARK, IL 60160(708) 450-5070(708) 450-5078 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. James F Koop M.d. NPPES

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

DR. JAMES F KOOP M.D. (NPI 1255420451) is an individual internal medicine provider in Melrose Park, Illinois, licensed in Illinois (036086979) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 30, 2026, and is affiliated with Loyola Gottlieb Memorial Hospital.

NPPES Registry Identity

NPI1255420451

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAMES F KOOPCredential: M.D.

Location Address675 W NORTH AVE, SUITE 409Melrose Park, IL 60160-1634

Mailing Address675 W North Ave, Suite #409Melrose Park, IL 60160-1634 · (708) 450-5070 · Fax (708) 450-5078

Phone(708) 450-5070

Fax(708) 450-5078

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateOctober 12, 2006

Last NPPES UpdateMarch 30, 2011

✔ NPI 1255420451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036086979

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.

675 W NORTH AVE, Melrose Park, IL 60160

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF79716IL

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

Dr. James F Koop M.d. 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 ID6305904780

PECOS Enrollment IDI20081029000564

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0699277

James Koop MD LLC · Melrose Park, IL

Active · expires Aug 30, 2026

CLIA Number14D0699277

Laboratory TypePhysician Office

Certificate Effective DateAugust 31, 2024

Certificate Expiration DateAugust 30, 2026

Laboratory DirectorJames Koop MD

Laboratory Phone(708) 450-5070

Laboratory LocationJames Koop MD LLC675 W North Av Suite 409, Melrose Park, IL 60160

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 19

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

339 services39 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.

286 services208 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

269 services144 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.

216 services46 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

207 services155 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

181 services181 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

120 services120 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

87 services11 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

75 services71 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

44 services44 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.

40 services24 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

38 services27 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

31 services25 patients

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.

23 services19 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.

22 services18 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

14 services12 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

12 services11 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

11 services11 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Loyola Gottlieb Memorial Hospital

Acute Care Hospitals · Melrose Park, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140008

Location701 West North AveMelrose Park, IL 60160 · Cook County

Emergency services

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140030

Location1425 North Randall RoadElgin, IL 60123 · Kane County

Emergency services Birthing friendly

Presence Saint Joseph Hospital - Elgin

Acute Care Hospitals · Elgin, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140217

Location77 N Airlite StreetElgin, IL 60123 · Kane County

Emergency services

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

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 60160 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

15 suppliers60 claims158 services$5.32 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers45 claims48 services$0.90 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers13 claims13 services$182.36 avg. paid by Medicare

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

Leave this field empty

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.

M Z SAIT MD LTD

Specialist

675 W NORTH AVE, SUITE 606
MELROSE PARK, IL 60160

Cook County (630) 932-2010

CLARK D CHRISMAN RPH

Pharmacist

675 W NORTH AVE
MELROSE PARK, IL 60160

Cook County (708) 450-4941

DR. ROBERTA FRANCES STAHNKE PSY.D.

Clinical Neuropsychologist

675 W NORTH AVE, SUITE 206
MELROSE PARK, IL 60160

Cook County (708) 681-7309

DR. DEEPTI SHIVAKUMAR MD

Family Medicine

675 W NORTH AVE, SUITE 416
MELROSE PARK, IL 60160

Cook County (708) 681-7818

RAMESH C. DHINGRA, M.D., S.C.

Internal Medicine (Cardiovascular Disease)

675 W NORTH AVE
MELROSE PARK, IL 60160

Cook County (708) 450-5050

DOBROSLAWA BLANKA MACHNICA MD

Pediatrics

675 W NORTH AVE, STE 567
MELROSE PK, IL 60160

Cook County (708) 681-7685

DR. RACHNA SHAH M.D.

Allergy & Immunology

675 W NORTH AVE, SUITE 310
MELROSE PARK, IL 60160

Cook County (708) 450-5054

LEE JENKINS MD SC

Surgery

675 W NORTH AVE, SUITE 408
MELROSE PARK, IL 60160

Cook County (708) 450-4950

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 James Koop's NPI number?

The NPI number for James Koop is 1255420451. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is James Koop located?

James Koop practices at 675 W North Ave Suite 409, Melrose Park, IL 60160. The listed phone number is (708) 450-5070.

What is James Koop's specialty?

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

Is James Koop enrolled in Medicare?

Yes. James Koop is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does James Koop hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0699277) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is James Koop affiliated with any hospitals?

According to CMS data, James Koop is affiliated with Loyola Gottlieb Memorial Hospital, Advocate Sherman Hospital, Presence Saint Joseph Hospital - Elgin, Northwestern Medicine Central Dupage Hospital and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for James Koop was last updated on March 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

About Dr. James F Koop M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 1

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate for Provider-Performed Microscopy Procedures (PPMP) · 14D0699277

Areas of Expertise CMS Part B claims 19

Hospital Affiliations CMS Care Compare 5

Loyola Gottlieb Memorial Hospital

Advocate Sherman Hospital

Presence Saint Joseph Hospital - Elgin

Northwestern Medicine Central Dupage Hospital

Loyola University Medical Center

Physician Visit Costs CMS claims · ZIP area

Referred Medical Equipment & Supplies CMS DME claims 3

Other Providers at the Same Location NPPES 20

Frequently Asked Questions NPPES & CMS

What is James Koop's NPI number?

Where is James Koop located?

What is James Koop's specialty?

Is James Koop enrolled in Medicare?

Does James Koop hold a CLIA laboratory certificate?

Is James Koop affiliated with any hospitals?

When was this NPI record last updated?

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0699277