Individual provider Active NPI

Samuel John Ohlander, M.D.

  • Urology Physician
  • Chicago, IL
National Provider Identifier
1043452287
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036140550 Issued in IL
Practice address
1009 S Wood St
Chicago, IL 60612-3747
Phone
(312) 996-2779
NPI assigned
Apr 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036140550 IL Primary

Addresses

Primary practice location

1009 S Wood St
Chicago, IL 60612-3747

Mailing address

820 S Wood St
Clinical Sciences North, Suite 515
Chicago, IL 60612-4325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160826001663 IL Practitioner - Urology 6901191188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, shared by 24 NPIs, 1,134 clinicians

Practice addresses (Care Compare)

820 S Wood St MC
955 Uic Urology
Chicago, IL 60612-4325
Phone (312) 996-6519

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Aug 16, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois Urology Current Accepting new patients
The Board of Trustees of the University of Illinois Urology CurrentSince Aug 16, 2016 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 16, 2016 Accepting new patients
River North Surgery Center, LLC PastSince Dec 1, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Past Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients
Fertility Centers of Illinois Past Accepting new patients
University of Chicago Past Accepting new patients

Locations

820 S Wood St
Ste 515
Chicago, IL 60612
Phone (312) 996-9313

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

820 S Wood St
#955
Chicago, IL 60612
Phone (312) 996-6519

60 E Delaware Pl
Chicago, IL 60611
Phone (312) 440-5127

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300

7732 Solution Ctr
Dept 3451
Chicago, IL 60677

1740 W Taylor St
Ste 1400
Chicago, IL 60612
Phone (312) 996-3900

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1043452287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S WOOD ST",
            "address_2": "CLINICAL SCIENCES NORTH, SUITE 515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 S WOOD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123747",
            "telephone_number": "312-996-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLANDER",
        "first_name": "SAMUEL",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036140550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.