NPIMap

Organization Active NPI

Hansamssp LLC

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1013700541
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HANSAMSSP LLC
Practice address
5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462
Phone
(312) 933-5719
Fax
(888) 664-1191
NPI assigned
May 27, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chirag PatelNPI 1205981750
Title
Manager
Phone
(312) 933-5719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462

Mailing address

5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462
Phone (312) 933-5719

Other practice location 1

521 E 86th Ave Ste Z
Merrillville, IN 46410-6236
Phone (312) 933-5719

Other practice location 2

415 Davis Ln
Walton, KY 41094-3522
Phone (312) 933-5719

Other practice location 3

4299 Bach Buxton Rd
Batavia, OH 45103-2948
Phone (312) 933-5719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN, IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20250917002612 OH Part B Supplier - Clinic/Group Practice 6406237551 Receives reassigned benefits from 4 practitioners
Practice locations: Batavia, OH
O20250925001887 KY Part B Supplier - Clinic/Group Practice 6406237551 Receives reassigned benefits from 2 practitioners
Practice locations: Walton, KY
O20250930000236 IN Part B Supplier - Clinic/Group Practice 6406237551 Receives reassigned benefits from 10 practitioners
Practice locations: Merrillville, IN
O20251013000265 IL Part B Supplier - Clinic/Group Practice 6406237551 Receives reassigned benefits from 28 practitioners
Practice locations: Skokie, IL

National Provider Directory

National Provider Directory
Tax ID family
Hansamssp LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1013700541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 OLD ORCHARD RD STE 300",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774462",
            "telephone_number": "312-933-5719",
            "fax_number": "888-664-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 OLD ORCHARD RD STE 300",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774462",
            "telephone_number": "312-933-5719",
            "fax_number": "888-664-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 E 86th Ave Ste Z",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464106236",
            "country_code": "US",
            "telephone_number": "312-933-5719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Davis Ln",
            "address_purpose": "LOCATION",
            "city": "Walton",
            "state": "KY",
            "postal_code": "410943522",
            "country_code": "US",
            "telephone_number": "312-933-5719",
            "fax_number": "888-664-1191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4299 BACH BUXTON RD",
            "address_purpose": "LOCATION",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451032948",
            "country_code": "US",
            "telephone_number": "312-933-5719",
            "fax_number": "888-664-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HANSAMSSP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-933-5719",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.