Individual provider Active NPI

Scott William Schimpke, M.D.

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1104111400
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
125060074 Issued in IL
Practice address
600 S Paulina St
527 Acfac
Chicago, IL 60612-3806
Phone
(312) 942-6510
NPI assigned
Jun 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125060074 IL Primary

Addresses

Primary practice location

600 S Paulina St
527 Acfac
Chicago, IL 60612-3806

Mailing address

540 N State St
Apt. 3905
Chicago, IL 60654-7231

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
I20180921000005 IL Practitioner - General Surgery 0244537843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1411 S Michigan Ave
Chicago, IL 60605-2810

1620 W Harrison St
Chicago, IL 60612-3801

1653 W Congress Pkwy
Chicago, IL 60612-3833

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

1725 W Harrison St
Chicago, IL 60612-3863

1725 W Harrison St
Suite 818
Chicago, IL 60612-3895
Phone (312) 942-5500

520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 660-2240

Hospital & facility affiliations

  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Surgery CurrentSince Oct 1, 2018 Accepting new patients

Locations

1725 W Harrison St
Ste 818
Chicago, IL 60612
Phone (312) 942-4444

1725 W Harrison St
Ste 810
Chicago, IL 60612
Phone (312) 942-6500

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 970
Chicago, IL 60612
Phone (312) 563-3447

600 S Paulina St
#527
Chicago, IL 60612
Phone (312) 942-6510

1725 W Harrison St
Ste 250
Chicago, IL 60612
Phone (312) 942-6163

1411 S Michigan Ave
Chicago, IL 60605
Phone (312) 454-2700

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

2850 W 95th St
Ste 200
Evergreen Pk, IL 60805
Phone (708) 422-7544

5851 W 95th St
Ste 300
Oak Lawn, IL 60453
Phone (708) 499-9800

4400 W 95th St
Ste 308
Oak Lawn, IL 60453
Phone (708) 346-4040

Interoperability endpoints

  • Direct secure messaging: sschimpke42533@direct.rush.rush-health.com

Organizations & group practices 1

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 2

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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1104111400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N STATE ST",
            "address_2": "APT. 3905",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PAULINA ST",
            "address_2": "527 ACFAC",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123806",
            "telephone_number": "312-942-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIMPKE",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125060074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.