Individual provider Active NPI

Linas A. Sidrys, M.D.

  • Ophthalmology Physician
  • Chicago Ridge, IL
National Provider Identifier
1154407880
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-058239 Issued in IL
Practice address
5706 111TH St
Chicago Ridge, IL 60415-2407
Phone
(708) 636-6622
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-058239 IL Primary

Addresses

Primary practice location

5706 111TH St
Chicago Ridge, IL 60415-2407

Mailing address

5706 111TH St
Chicago Ridge, IL 60415-2407
Phone (708) 636-6622

Other identifiers 6

IdentifierTypeStateIssuer
05032013OtherILBLUE CROSS
180009600OtherILRAILROAD MEDICARE
207W00000XOtherILTAXONOMY CODE
036-058239OtherILILLINOIS LCENSE
180046260OtherILRAILROAD MEDICARE
21629784OtherILBLUE CROSS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lsidrys279704@direct.myadvocateaurora.org Direct
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
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Chicago, Pritzker School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9414 Central Ave
Apt 1
Oak Lawn, IL 60453-5881

9621 Southwest Hwy
Oak Lawn, IL 60453-2863

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-058239ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Vision Care PC PastSince Dec 26, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lsidrys279704@direct.myadvocateaurora.org

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1154407880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 111TH ST",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152407",
            "telephone_number": "708-636-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 111TH ST",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152407",
            "telephone_number": "708-636-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDRYS",
        "first_name": "LINAS",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-058239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "05032013",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180009600",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "207W00000X",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LCENSE",
            "identifier": "036-058239",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180046260",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "21629784",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsidrys279704@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5706 111th St",
            "city": "Chicago Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604152407",
            "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": "5706 111th St",
            "city": "Chicago Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604152407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

Verify at the official NPI Registry.