Individual provider Active NPI

Stuart Philip Sondheimer, M.D.

  • Ophthalmology Physician
  • Skokie, IL
National Provider Identifier
1164433785
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-066719 Issued in IL
Practice address
9150 Crawford Ave
Suite 201
Skokie, IL 60076-1770
Phone
(847) 677-2794
Fax
(847) 677-2833
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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 036-066719 IL Primary

Addresses

Primary practice location

9150 Crawford Ave
Suite 201
Skokie, IL 60076-1770

Mailing address

9150 Crawford Ave
Suite 201
Skokie, IL 60076-1770
Phone (847) 677-2794

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
I20040930000598 IL Practitioner - Ophthalmology 1052380581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.81 of 100Reported as individual
Quality
97.61
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-066719ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Suburban Vision Consultants,LTD. Past Accepting new patients
Stephen a. Vile MD SC Ophthalmology PastSince Feb 1, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ssondheimer@ssmd.intellechartdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1164433785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 CRAWFORD AVE",
            "address_2": "SUITE 201",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761770",
            "telephone_number": "847-677-2794",
            "fax_number": "847-677-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 CRAWFORD AVE",
            "address_2": "SUITE 201",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761770",
            "telephone_number": "847-677-2794",
            "fax_number": "847-677-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONDHEIMER",
        "first_name": "STUART",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-066719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.