MR. DOUGLAS KRYSAN PA-C
NPI 1316343296
Physician Assistant - Medical in Chicago, IL

Q: What is Douglas Krysan's NPI number?

The NPI number for Douglas Krysan is 1316343296. It was assigned to this individual provider in the NPPES registry on November 5, 2014.

Q: What is Douglas Krysan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Krysan was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 November 05, 2014PECOS EnrolledAccepts Medicare Assignment

1725 W HARRISON ST STE 161, CHICAGO, IL 60612(312) 563-2875 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Douglas Krysan Pa-c NPPES

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

MR. DOUGLAS KRYSAN PA-C (NPI 1316343296) is an individual medical provider in Chicago, Illinois, licensed in Pennsylvania (MA057239) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1316343296

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. DOUGLAS KRYSANCredential: PA-C

Location Address1725 W HARRISON ST STE 161Chicago, IL 60612-3861

Mailing Address1725 W Harrison St Ste 161Chicago, IL 60612-3861 · (312) 563-2875

Phone(312) 563-2875

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 5, 2014

Last NPPES UpdateSeptember 18, 2024

NPPES CertifiedSeptember 18, 2024

✔ NPI 1316343296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in PA · MA057239✔ Licensed in IL · 085006546

1725 W HARRISON ST STE 161, Chicago, IL 60612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Mr. Douglas Krysan Pa-c 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 ID6507167558

PECOS Enrollment IDI20190221000303

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 3

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.

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.

331 services139 patients

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

115 services68 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

81 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140063

Location520 S Maple AveOak Park, IL 60304 · Cook County

Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 12

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

Azathioprine, oral, 50 mg J7500

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier65 claims2,220 services$5.76 avg. paid by Medicare

Cyclosporine, oral, 100 mg J7502

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims720 services$1.57 avg. paid by Medicare

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

6 suppliers846 claims432,360 services$1.21 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers91 claims13,320 services$0.29 avg. paid by Medicare

Prednisolone oral, per 5 mg J7510

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier533 claims16,140 services$0.05 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers28 claims2,700 services$0.01 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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