Active NPI
Mitchell B. Sheinkop, M.D.
- Orthopaedic Surgery Physician
- Chicago, IL
National Provider Identifier
1073592861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036041805
- Practice address
- 618 W Fulton St
Chicago, IL 60661-1144 - Phone
- (312) 475-1893
- Fax
- (312) 910-2460
- NPI assigned
- Jan 11, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036041805 | IL | Primary |
Addresses
Primary practice location
618 W Fulton St
Chicago, IL 60661-1144
Mailing address
618 W Fulton St
Chicago, IL 60661-1144
Phone (312) 475-1893
Other practice location 1
2200 Waukegan Rd
Glenview, IL 60025-1759
Phone (312) 475-1893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336010095 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Orthopaedics at Rush, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Chicago Institute of Neurosurgery & Neuroresearch | Past | Accepting new patients |
Interoperability endpoints
- ms@weil.emadirect.md
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Chicago, IL
- NPI 1326099391
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1811942451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1073592861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 W FULTON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611144",
"telephone_number": "312-475-1893",
"fax_number": "312-910-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 W FULTON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611144",
"telephone_number": "312-475-1893",
"fax_number": "312-910-2460"
}
],
"practiceLocations": [
{
"address_1": "2200 Waukegan Rd",
"address_purpose": "LOCATION",
"city": "Glenview",
"state": "IL",
"postal_code": "600251759",
"country_code": "US",
"telephone_number": "312-475-1893",
"fax_number": "312-910-2460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEINKOP",
"first_name": "MITCHELL",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036041805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336010095",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.