MISS DIANA SOPHIA KOLETTIS M.D.
NPI 1285977678
Obstetrics & Gynecology in Park Ridge, IL

Q: What is Diana Kolettis's NPI number?

The NPI number for Diana Kolettis is 1285977678. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Q: What is Diana Kolettis'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 Diana Kolettis was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment

1875 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-8610 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2021, Nov 29, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Miss Diana Sophia Kolettis M.d. NPPES

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

MISS DIANA SOPHIA KOLETTIS M.D. (NPI 1285977678) is an individual obstetrics & gynecology provider in Park Ridge, Illinois, licensed in Massachusetts (272020) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1285977678

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMISS DIANA SOPHIA KOLETTISCredential: M.D.

Location Address1875 DEMPSTER STPark Ridge, IL 60068-1186

Mailing Address1653 W Congress PkwyChicago, IL 60612-3833

Phone(847) 723-8610

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 3, 2013

Last NPPES UpdateDecember 15, 20214 updates tracked since enumeration

NPPES CertifiedDecember 15, 2021

✔ NPI 1285977678 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 MA · 272020

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

1875 DEMPSTER ST, Park Ridge, IL 60068

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Miss Diana Sophia Kolettis 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 ID9436441425

PECOS Enrollment IDI20171004003613

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.

Tufts Medical Center

Acute Care Hospitals · Boston, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220116

Location800 Washington StreetBoston, MA 02111 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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.

AMY MINER APN-CNP

Nurse Practitioner (Family)

1875 DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (844) 725-5238

DR. MANOJ SHAH MD

Surgery

1875 DEMPSTER ST, SUITE 280
PARK RIDGE, IL 60068

Cook County (847) 318-9071

DR. MICHAEL LAYLAND MD

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

1875 DEMPSTER ST, STE 301
PARK RIDGE, IL 60068

Cook County (847) 685-1000

BRIAN PETER MCCULLOCH M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

1875 DEMPSTER ST, SUITE 325
PARK RIDGE, IL 60068

Cook County (847) 723-8610

DR. DAVID P TOJO MD

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

1875 DEMPSTER ST, STE 301
PARK RIDGE, IL 60068

Cook County (847) 685-1000

ANDREA MAGYAR GADSON MPT

Physical Therapist (Sports)

1875 DEMPSTER ST
PARK RIDGE, IL 60068

Cook County (847) 723-7856

MR. JAN R DELARIMAN O.T.

Occupational Therapist (Hand)

1875 DEMPSTER ST, SUITE G10
PARK RIDGE, IL 60068

Cook County (847) 723-7059

ILLINOIS UROGYNECOLOGY, LTD.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

1875 DEMPSTER ST, SUITE 665
PARK RIDGE, IL 60068

Cook County (847) 825-1590

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 Diana Kolettis's NPI number?

The NPI number for Diana Kolettis is 1285977678. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Diana Kolettis located?

Diana Kolettis practices at 1875 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 723-8610.

What is Diana Kolettis's specialty?

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

Is Diana Kolettis enrolled in Medicare?

Yes. Diana Kolettis 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.

What insurance does Diana Kolettis accept?

Health plans from Anthem Blue Cross and Blue Shield list Diana Kolettis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Diana Kolettis affiliated with any hospitals?

According to CMS data, Diana Kolettis is affiliated with Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Diana Kolettis was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.