Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114928835 Individual Practitioner Male Practitioner

Dr. Nicholas G Stiso , MD

Internal Medicine • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Stiso, MD is a registered healthcare professional specializing in Internal Medicine in Chicago, IL. Practice services are available at 47 W POLK ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

47 W Polk St
Suite G

Chicago, IL 606052000

Telephone 3129223409
Fax 3125831712
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
2969 Specialists

Practicing in Chicago, IL (7544 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
33 18 $199.00 $117.10
99213 Established patient office or other outpatient visit, typically 15 minutes
29 19 $133.00 $81.03

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036-072335

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MI 4301049152

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
36072335 (IL)
Commercial Insurance / Payer ID Railroad Medicare
110084980 (IL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
31604458 (IL)
Commercial Insurance / Payer ID Medicare Ptan
950150135 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1386620227

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2016

Registered at 47 W POLK ST, SUITE G, CHICAGO, IL 606052000 (Tel: 3129223409)

📍
Updated Business Mailing Address March 10, 2016

Registered at PO BOX 1152, LA GRANGE PARK, IL 605269252 (Tel: 7083521202)

👤
Provider Name / Credentials Updated March 10, 2016

Recorded as NICHOLAS STISO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2016

Internal Medicine (License #036-072335 in IL)

🟢
Initial NPI Registration & Enumeration August 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114928835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2005
Last Update: March 10, 2016
Sole Proprietor: Yes

Mailing Address

Po Box 1152

La Grange Park, IL 605269252

Phone: 7083521202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.