HELEN A. NIKOLAS M.D.
NPI 1356424477
Obstetrics & Gynecology in Oak Lawn, IL

Q: What is Helen Nikolas's NPI number?

The NPI number for Helen Nikolas is 1356424477. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Helen Nikolas'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 Helen Nikolas was last updated on December 22, 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 October 23, 2006PECOS EnrolledAccepts Medicare Assignment

4225 W 95TH ST, OAK LAWN, IL 60453(708) 423-2300(708) 423-2318 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Helen A. Nikolas M.d. NPPES

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

HELEN A. NIKOLAS M.D. (NPI 1356424477) is an individual obstetrics & gynecology provider in Oak Lawn, Illinois, licensed in Illinois (036093272) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1993).

NPPES Registry Identity

NPI1356424477

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameHELEN A. NIKOLASCredential: M.D.

Location Address4225 W 95TH STOak Lawn, IL 60453-2623

Mailing Address4225 W 95th StOak Lawn, IL 60453-2623 · (708) 423-2300 · Fax (708) 423-2318

Phone(708) 423-2300

Fax(708) 423-2318

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1993

Enumeration DateOctober 23, 2006

Last NPPES UpdateDecember 22, 2021

NPPES CertifiedDecember 22, 2021

✔ NPI 1356424477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036093272

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.

4225 W 95TH ST, Oak Lawn, IL 60453

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Other Identifiers 2

Medicaid036093272IL

Other0479220001IL · Dmerc

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

Helen A. Nikolas 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 ID8921022468

PECOS Enrollment IDI20101220000746

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.

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.

51 services37 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

46 services46 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.

29 services22 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

13 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140048

Location2320 E 93rd StChicago, IL 60617 · Cook County

Emergency services Birthing friendly

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140062

Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County

Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140208

Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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 5

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

DR. NANCY DUNCAN STRANZ MD

Obstetrics & Gynecology