NPIMap

Organization Active NPI

Mount Sinai Community Foundation

Doing business as SMG Ashland Office

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1104142728
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MOUNT SINAI COMMUNITY FOUNDATION
Doing business as
SMG Ashland Office
Practice address
6224 S Ashland Ave
Chicago, IL 60636-2324
Phone
(773) 778-8600
NPI assigned
Apr 8, 2010
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNT SINAI COMMUNITY FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Mr. Edward Carne
Title
President of Sinai Medical Group
Phone
(773) 257-5771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6224 S Ashland Ave
Chicago, IL 60636-2324

Mailing address

26460 Network PL
Chicago, IL 60673-1264
Phone (773) 542-2000

Other names 1

  • SMG ASHLAND OFFICE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mount Sinai Medical Gro53 organizations share this tax ID, including this one
Part of
Mount Sinai Medical Gro

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

6224 S Ashland Ave
Chicago, IL 60636
Phone (773) 778-8600

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1104142728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26460 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731264",
            "telephone_number": "773-542-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606362324",
            "telephone_number": "773-778-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI COMMUNITY FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI COMMUNITY FOUNDATION",
        "enumeration_date": "2010-04-08",
        "last_updated": "2023-05-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "CARNE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT OF SINAI MEDICAL GROUP",
        "authorized_official_telephone_number": "773-257-5771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMG ASHLAND OFFICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMG ASHLAND OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 4, 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.

Verify at the official NPI Registry.