Individual provider Active NPI

Mensur O. Sunje, M.D. M.SC.

  • Phlebology Physician
  • Chicago, IL
National Provider Identifier
1013954999
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
036103665 Issued in IL
Practice address
2333 W Irving Park Rd
Chicago, IL 60618-3838
Phone
(773) 506-7340
Fax
(773) 506-7341
NPI assigned
Jun 1, 2006
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036103665 IL
Phlebology Physician 202K00000X 036103665 IL Primary

Addresses

Primary practice location

2333 W Irving Park Rd
Chicago, IL 60618-3838

Mailing address

2333 W Irving Park Rd
Chicago, IL 60618-3838
Phone (773) 506-7340

Other practice location 1

4906 N Western Ave
Chicago, IL 60625-1922
Phone (773) 506-7340

Other practice location 2

6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone (219) 212-0188

Other identifiers 1

IdentifierTypeStateIssuer
036103665MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040426001425 IL Practitioner - Internal MedicinePractitioner - Addiction MedicinePractitioner - Peripheral Vascular DiseasePractitioner - Vascular SurgeryPractitioner - Colorectal Surgery (Proctology) 6507853371 Reassigns benefits to 1 organization
I20210311001959 IN Practitioner - Internal MedicinePractitioner - Colorectal Surgery (Proctology)Practitioner - Peripheral Vascular Disease 6507853371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Colorectal Surgery (Proctology), Peripheral Vascular Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago Uptown Medical CenterGroup PAC ID 1456348218, 2 clinicians

Practice addresses (Care Compare)

2333 W Irving Park Rd
Chicago, IL 60618-3838
Phone (773) 506-7340

6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone (773) 506-7340

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal399
Removal of tissue11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Vein Institute S.C. Phlebology Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1013954999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183838",
            "telephone_number": "773-506-7340",
            "fax_number": "773-506-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183838",
            "telephone_number": "773-506-7340",
            "fax_number": "773-506-7341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4906 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606251922",
            "country_code": "US",
            "telephone_number": "773-506-7340",
            "fax_number": "773-506-7341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6050 Sterling Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463687752",
            "country_code": "US",
            "telephone_number": "219-212-0188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNJE",
        "first_name": "MENSUR",
        "middle_name": "O.",
        "credential": "M.D. M.SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036103665",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036103665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103665",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.