Active NPI
Winston Sequeira, M.D.
- Rheumatology Physician
- Wheaton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 036-049100
- Practice address
- 7 Blanchard Cir
Suite 202
Wheaton, IL 60189-2037 - Phone
- (630) 653-4526
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 036-049100 | IL | Primary |
Addresses
Primary practice location
7 Blanchard Cir
Suite 202
Wheaton, IL 60189-2037
Mailing address
7 Blanchard Cir
Suite 202
Wheaton, IL 60189-2037
Phone (630) 653-4526
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033149844 | Other | IL | GROUP NPI |
| 0222075 | Other | IL | BLUE CROSS GROUP NUMBER |
| 363149833 | Other | IL | TAX IDENTIFICATION NUMBER |
| 036049100 | Medicaid | IL | |
| 3631498336019001 | Other | IL | CDPG HFS PAYEE ID |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-049100 | IL | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Roy J. Betti, M.D.S.C. | Past | Accepting new patients |
Locations
1611 W Harrison St
#510
Chicago, IL 60612
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1611 W Harrison St
Ste 510
Chicago, IL 60612
Phone (312) 563-2800
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
1725 W Harrison St
Ste 1017
Chicago, IL 60612
Phone (312) 563-2800
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
25706 Network Pl
Chicago, IL 60673
4909 W Division St
Chicago, IL 60651
Phone (773) 854-8000
75 Remittance Dr
Dept 1611
Chicago, IL 60675
Interoperability endpoints
- wsequeiramd2830@direct.rush.rush-health.com
Organizations & group practices 5
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.
-
dba John H. Stroger, Jr. Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
dba Cook County Health & Hospitals System Physician Services
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Clinic/Center
- Carol Stream, IL
- NPI 1861650889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243209600000",
"number": "1063445633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BLANCHARD CIR",
"address_2": "SUITE 202",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892037",
"telephone_number": "630-653-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BLANCHARD CIR",
"address_2": "SUITE 202",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892037",
"telephone_number": "630-653-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEQUEIRA",
"first_name": "WINSTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2009-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IL",
"license": "036-049100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1033149844",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP NUMBER",
"identifier": "0222075",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "363149833",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036049100",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPG HFS PAYEE ID",
"identifier": "3631498336019001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.