Leon Michael Sujata, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036135093 Issued in IL

Practice address

1425 N Hunt Club Rd Ste 301
Gurnee, IL 60031-2639

Phone

(847) 855-9152

NPI assigned

Mar 29, 2009

Last updated

May 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

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

Specialty

Nephrology

Education

Loyola University of Chicago, Stritch School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nephrology Associates of Northern Illinois LTDGroup PAC ID 2163328675, 117 clinicians

North Suburban Nephrology LLCGroup PAC ID 5294891644, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Lake County Dialysis Services Dialysis facility, Vernon Hills, IL, CCN 142552
• FMC - Waukegan Harbor Dialysis facility, Waukegan, IL, CCN 142727
• Concerto Dialysis Dialysis facility, Lincolnwood, IL, CCN 142655
• Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
• Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
• Vista Medical Center East Hospital, Waukegan, IL, CCN 140084
• Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lsujata145589@cityofhope.direct-ci.com
• Direct secure messaging: lsujata42365@direct.acumenmd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nephrology Associates of Northern Illinois, LTD.

  • Nephrology Physician
  • Oak Brook, IL
  • NPI 1124069182
  Medicare reassignment Care Compare group NPD
• North Suburban Nephrology LLC

  • Specialist
  • Gurnee, IL
  • NPI 1801041645
  Medicare reassignment Care Compare group NPD
• Nephrology Associates of Northern Illinois, LTD.

  • Nephrology Physician
  • Oak Brook, IL
  • NPI 1134319924
  NPD
• Linda Roberts & Associates Inc

  • Registered Dietitian
  • Wheaton, IL
  • NPI 1073832002
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Total Renal Care Inc

  dba Lake County Dialysis Services

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Vernon Hills, IL
  • NPI 1265401475

  Dialysis facility

  Care Compare affiliation Name & address match
• Advocate Condell Medical Center

  dba Advocate Condell Imaging Center

  • Mobile Mammography Clinic/Center
  • Gurnee, IL
  • NPI 1023262441

  Hospital

  Care Compare affiliation
• Advocate Condell Medical Center

  • General Acute Care Hospital
  • Libertyville, IL
  • NPI 1124272547
  Care Compare affiliation
• Advocate Condell Medical Center

  dba Advocate Condell Medical Center Grays Lake

  • Mobile Mammography Clinic/Center
  • Grayslake, IL
  • NPI 1770737199

  Hospital

  Care Compare affiliation
• Northwestern Lake Forest Hospital

  dba Northwestern Medicine Lake Forest Hospital

  • General Acute Care Hospital
  • Lake Forest, IL
  • NPI 1124025176
  Care Compare affiliation
• Waukegan Illinois Hospital Company LLC

  dba Vista Medical Center East

  • General Acute Care Hospital
  • Waukegan, IL
  • NPI 1639120694
  Care Compare affiliation
• Froedtert South, Inc.

  • General Acute Care Hospital
  • Pleasant Prairie, WI
  • NPI 1003831132
  Care Compare affiliation

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1154563724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N HUNT CLUB RD STE 301",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312639",
            "telephone_number": "847-855-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUJATA",
        "first_name": "LEON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-29",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036135093",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2012-01642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsujata234371@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1445 N Hunt Club Rd Ste 201",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600312603",
            "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": "1445 N Hunt Club Rd Ste 201",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600312603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1445 N Hunt Club Rd Ste 201",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600312603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Lynn Streiff, D.C.
• Melody A Stried, LCSW
• Paul N Strohmayer, M.D.
• Studio Twenty Three PLLC
• John Edward Stuparitz, DDS,MS
• Heather Maureen Sullivan, L. AC
• Bruce Summerville, MD
• Frank C Sun, MD
• Susan R. Davis Therapies, Inc.
• Bharathi Swaminathan, M.D.

• Nephrology Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.