Individual provider Active NPI

Sammy Sinno, M.D.

  • Plastic Surgery Physician
  • Chicago, IL
National Provider Identifier
1174814412
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0.36142306 Issued in IL
Practice address
737 N Michigan Ave Ste 1500
Chicago, IL 60611-6653
Phone
(312) 788-2560
Fax
(312) 788-2563
NPI assigned
Apr 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0.36142306 IL Primary

Addresses

Primary practice location

737 N Michigan Ave Ste 1500
Chicago, IL 60611-6653

Mailing address

737 N Michigan Ave Ste 1500
Chicago, IL 60611-6653
Phone (312) 788-2560

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
I20170927002458 IL Practitioner - Plastic and Reconstructive Surgery 3173897378

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0.36142306ILMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1174814412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 1500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116653",
            "telephone_number": "312-788-2560",
            "fax_number": "312-788-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 1500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116653",
            "telephone_number": "312-788-2560",
            "fax_number": "312-788-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINNO",
        "first_name": "SAMMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "0.36142306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.