DR. ATHENA KOSTIDIS MD
NPI 1386624575
Psychiatry & Neurology - Neurology in Maywood, IL

Q: What is Athena Kostidis's NPI number?

The NPI number for Athena Kostidis is 1386624575. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Q: What is Athena Kostidis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Athena Kostidis was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 January 23, 2006PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, (17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181), MAYWOOD, IL 60153(630) 627-7399(630) 627-7079 Get Directions Write a Review

NPPES record last updated: October 13, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Athena Kostidis Md NPPES

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

DR. ATHENA KOSTIDIS MD (NPI 1386624575) is an individual neurology provider in Maywood, Illinois, licensed in Illinois (36113445) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Indiana University School Of Medicine (2001).

NPPES Registry Identity

NPI1386624575

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. ATHENA KOSTIDISCredential: MD

Location Address2160 S 1ST AVE, (17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)Maywood, IL 60153

Mailing Address2160 S 1st Ave, (17w740 22nd Street, Oakbrook Terrace, Il. 60181)Maywood, IL 60153 · (630) 627-7399 · Fax (630) 627-7079

Phone(630) 627-7399

Fax(630) 627-7079

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2001

Enumeration DateJanuary 23, 2006

Last NPPES UpdateOctober 13, 2009

✔ NPI 1386624575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in IL · 36113445

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 36113445 (IL)

2160 S 1ST AVE, Maywood, IL 60153

Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type UnspecifiedK22437IL

Medicare ID-Type UnspecifiedK22436IL

Medicaid36113445IL

Medicare UPINI45106

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, 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

Dr. Athena Kostidis 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 ID2264451806

PECOS Enrollment IDI20051114000498

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 Athena Kostidis 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 4

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.

Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615

This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.

98 services33 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.

59 services47 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.

50 services45 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

18 services18 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)