Individual provider Active NPI

Robert J Sulkowski, MD

  • Surgery Physician
  • Niles, IL
National Provider Identifier
1124007422
Registry record updated Dec 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036-077206 Issued in IL
Practice address
7900 N Milwaukee Av
Ste 222
Niles, IL 60714
Phone
(847) 967-9430
Fax
(847) 967-9218
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2021

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 036-077206 IL Primary

Addresses

Primary practice location

7900 N Milwaukee Av
Ste 222
Niles, IL 60714

Mailing address

7900 N Milwaukee Av
Ste 222
Niles, IL 60714
Phone (847) 967-9430

Other identifiers 1

IdentifierTypeStateIssuer
036077206MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rsulkowski251995@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api:/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
52.58 of 100Reported as group
Quality
13.74
Promoting interoperability
100
Improvement activities
0
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30924COMDFamily Medicine Physician
036-077206ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Family Medicine Providers, PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1124007422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AV",
            "address_2": "STE 222",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-967-9430",
            "fax_number": "847-967-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AV",
            "address_2": "STE 222",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-967-9430",
            "fax_number": "847-967-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULKOWSKI",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-077206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077206",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsulkowski251995@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "7900 N Milwaukee Av",
            "address_2": "Ste 222",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api:/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7900 N Milwaukee Av",
            "address_2": "Ste 222",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.