Individual provider Active NPI

Scott Alan Schlidt, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hinsdale, IL
National Provider Identifier
1063463719
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
036170180 Issued in IL
Practice address
120 N Oak St
Hinsdale, IL 60521-3829
Phone
(630) 856-2250
NPI assigned
May 15, 2006
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036170180 IL Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 47220 WI

Addresses

Primary practice location

120 N Oak St
Hinsdale, IL 60521-3829

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

Other identifiers 1

IdentifierTypeStateIssuer
34564800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 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
I20041008000863 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 6608835145 Reassigns benefits to 3 organizations
I20240620002993 IL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 6608835145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
University of Chicago, Pritzker School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners IncGroup PAC ID 7517154347, 45 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 789-3422

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 499-4750

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-2100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)35
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47220WIMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Jul 1, 2014 Accepting new patients
The University of Chicago Medical Center CurrentSince Jun 25, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 1, 2013 Accepting new patients
The University of Chicago Medical Center CurrentSince Jun 25, 2024 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Jul 1, 2014 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Oct 9, 2018 Accepting new patients
The Medical College of Wisconsin, Inc. Current Accepting new patients
University of Chicago CurrentSince Jun 25, 2024 Accepting new patients
Adventist Health Partners, Inc CurrentSince Jul 1, 2024 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

19475 W North Ave
Ste 305
Brookfield, WI 53045
Phone (262) 780-4070

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

1701 Fond du Lac Ave
Kewaskum, WI 53040
Phone (262) 626-4616

10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080

950 N 12th St
Milwaukee, WI 53233
Phone (414) 219-6036

Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

N14W23833 Stone Ridge Dr
Ste 240
Waukesha, WI 53188
Phone (262) 232-8777

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

10150 W National Ave
Ste 190
West Allis, WI 53227
Phone (414) 271-5119

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

1700 W Paradise Dr
West Bend, WI 53095
Phone (262) 334-3451

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1063463719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR STE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N OAK ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213829",
            "telephone_number": "630-856-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "773-702-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLIDT",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036170180",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WI",
            "license": "47220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34564800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.