KONSTANTINOS D KOSTAS (PHD) – Clinical Psychologist, NPI 1629047469

KONSTANTINOS D KOSTAS (PHD) is a healthcare provider. based in Elk grove village, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 071005172 (IL). The NPI Number for KONSTANTINOS D KOSTAS (PHD) is 1629047469

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
KONSTANTINOS D KOSTAS (PHD)
NPI
1629047469
Phone
(847) 981-3630
Address
800 Biesterfield Rd Ste 610
Enumeration Date
15 March 2006
Last Update Date
8 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477558208
Graduation Year
1994 (32 years ago)
PAC ID
1153344197
Group Practice PAC ID
7517863178
Professional Enrollment ID
I20060105000442
Address ID
IL601945029HO1786XBLVD400
Telehealth
Yes

Contacts

Secure Messaging
konstantino.kostas.1@380.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for KONSTANTINOS D KOSTAS (PHD)

  • 800 Biesterfield Rd Ste 610

    Elk Grove Village, IL 600073362

    Phone: (847) 981-3630

    Type: Location

  • 4501, North Winchester Avenue, West Ravenswood, Lincoln Square, Chicago, Lake View Township, Cook County, Illinois, 60640, United States

    3RD FL

    CHICAGO, IL 60640

    Phone: (773) 250-0500

    Fax: (773) 250-0497

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060105000442IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes21120$0
90837Psychotherapy, 1 hour5014$0
90791Psychiatric diagnostic evaluation1818$0
96130Evaluation of psychological test, first hour1818$0
View full utilization report →

Insurance plans in this area (ZIP 60007)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517863178View full group profile
NameSpecialtyState
-ARMED FORCES EUROPE
Family PracticeIL
-IL
Geriatric Medicine, Internal MedicineIL
Internal MedicineIL
Geriatric Medicine, Family PracticeIL
Hospitalist, Internal MedicineIL
N E U R O L O G YIL
-IL
Internal MedicineIL

Reviews

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Frequently asked questions

What number should I use to identify KONSTANTINOS D KOSTAS (PHD) for billing?
Administrative and clinical systems typically use NPI 1629047469 for KONSTANTINOS D KOSTAS (PHD).
Should I treat KONSTANTINOS D KOSTAS (PHD) as an active provider?
Patients and plans typically see KONSTANTINOS D KOSTAS (PHD) as active in the national extract.
What services align with KONSTANTINOS D KOSTAS (PHD)'s listing?
KONSTANTINOS D KOSTAS (PHD)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is KONSTANTINOS D KOSTAS (PHD) tied to Elk Grove Village, Illinois?
If you are local to Elk Grove Village, Illinois, KONSTANTINOS D KOSTAS (PHD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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