MOUNT SINAI HOSPITAL MEDICAL CENTER


Address: 1500 S Fairfield Ave, Chicago, IL 60608-1782
Phone: 7735653200

MOUNT SINAI HOSPITAL MEDICAL CENTER (NPI# 1528668274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528668274
Entity Type Organization
Organization Name MOUNT SINAI HOSPITAL MEDICAL CENTER
Practice Address 1500 S Fairfield Ave
Chicago
IL 60608-1782
Mailing Address 2667 Network Pl
Chicago
IL 60673-1264
Practice Telephone 7735653200
Practice Fax Number 7735226543
Mailing Telephone 7732572937
Enumeration Date 2020-10-30
Last Update Date 2020-10-30
Authorized Official Name DIMAS ORTEGA (VICE PRESIDENT OF FINANCE)
Authorized Official Telephone 7372572937
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Mount Sinai Hospital Other Name - Individual/Organization
MSH Specialty Clinic at Schwab Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407209208 Mount Sinai Hospital Medical Center Clinic/Center 1501 S California Ave # L1026, Chicago, IL 60608-1732 2016-07-16
1447532882 Mount Sinai Hospital Medical Center Clinic/Center California At 15th Street, Chicago, IL 60608-1704 2011-09-12
1932496114 Mount Sinai Hospital Medical Center Clinic/Center 2750 W 15th Pl, Chicago, IL 60608-1704 2011-07-07
1750678934 Mount Sinai Hospital Medical Center Clinic/Center 812 S Western Ave, Chicago, IL 60612-4140 2011-07-07
1639470867 Mount Sinai Hospital Medical Center Clinic/Center 2124 W 21st Pl, Chicago, IL 60608-4010 2010-11-04
1659429900 Mount Sinai Hospital Medical Center Home Health 2750 W 15th St, Kurtzon 10th Floor, Chicago, IL 60608-1610 2007-01-05
1871581314 Mount Sinai Hospital Medical Center General Acute Care Hospital 2028 Paysphere Cir, Chicago, IL 60674-0020 2005-10-10
1942800602 Mount Sinai Hospital Medical Center Clinic/Center 1414 S Fairfield Ave, Chicago, IL 60608 2020-10-30
1114527462 Mount Sinai Hospital Medical Center Clinic/Center 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 2020-10-27
1205207875 Mount Sinai Hospital Medical Center Physician Assistant 5 E 98th St, Floor 2, New York, NY 10029-6501 2015-10-08

Office Location

Street Address 1500 S FAIRFIELD AVE
City CHICAGO
State IL
Zip Code 60608-1782

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275564197 Paul M. Berkowitz Psychiatry & Neurology 1500 S Fairfield Ave, Chicago, IL 60608-1782 2006-07-06
1669089306 Sabin Gajurel Internal Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-09-27
1710591854 Trisha May Homan Nurse Practitioner 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-09-05
1861005134 Elizaveta Vitkovskaya Internal Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-08-26
1104439751 Vishal Kwatra Internal Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-08-24
1265044226 Temitayo Kafisanwo Nurse Practitioner 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-08-20
1891306577 Nardeen Morkos Family Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-08-14
1659981983 Anuradha Sakhuja Internal Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-08-02
1508474818 Anthony Adly Messiha Family Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-07-22
1932726072 Yoshio Tatsuoka Internal Medicine 1500 S Fairfield Ave, Chicago, IL 60608-1782 2020-07-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699390047 Bethuna Shields Occupational Therapist 1401 South California Ave, Chicago, IL 60608 2020-06-11
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1205481058 Joshua Hartman Pharmacist 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 2019-08-08
1194386706 Mount Sinai Hospital, Chicago Internal Medicine Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 2019-06-25
1841754256 Julia Bates Occupational Therapist 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 2019-01-30
1194205781 Anais J Robles Contractor 1626 S Allport St, Chicago, IL 60608 2018-08-14
1114412970 Dmitri Zbarsky Internal Medicine 1500 South Fairfield Ave., F-914, Chicago, IL 60608 2018-06-25
1740773050 Alexia Ilian Derma Salazar Speech-Language Pathologist 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 2018-06-11
1912424730 Pareen Modi Pharmacist 2539 South Western Avenue, Chicago, IL 60608 2017-08-23
1952824302 Raquel Gonzalez Heredia Surgery 1500 South Fairfield Ave, Chicago, IL 60608 2017-07-18
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407453236 Dirsi, Inc Clinic/Center 2112 N Dayton St, Chicago, IL 60614-4302 2020-10-05
1588261770 Mount Sinai Community Foundation Dba Sinai Medical Group Clinic/Center 2701 W 68th St Fl 3, Chicago, IL 60629-1813 2020-10-01
1013514298 Mount Sinai Community Foundation Dba Sinai Medical Group Clinic/Center 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 2020-10-01
1841804879 Chicago Poly Clinic LLC Clinic/Center 2446 W Devon Ave, Chicago, IL 60659-1913 2020-09-08
1386258226 Ortho Spine Surgical LLC Clinic/Center 1925 E 95th St Ste 220, Chicago, IL 60617-4710 2020-09-08
1649817768 Rising Root Nutrition LLC Clinic/Center 2835 N Sheffield Ave Ste 511, Chicago, IL 60657-5081 2019-12-09
1487203642 Jennifer Scherbauer Clinic/Center 4036 N Ashland Ave Apt 1w, Chicago, IL 60613-2534 2019-09-10
1194380147 Colmed Clinic Ltd Clinic/Center 3615 N Ashland Ave Apt 1n, Chicago, IL 60613-4742 2019-05-06
1831662931 Ova Institute LLC Clinic/Center 401 N Michigan Ave Ste 1800, Chicago, IL 60611-4225 2019-01-10
1972080992 Family Care Sc Clinic/Center 2320 W Peterson Ave Fl 6, Chicago, IL 60659-5242 2018-07-23
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Competitor

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City CHICAGO
Zip Code 60608

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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