Individual provider Active NPI

Jose R. Perez-Sanz, MD

  • Orthopaedic Surgery Physician
  • Oak Lawn, IL
National Provider Identifier
1205880317
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036-067558 Issued in IL
Practice address
6701 W 95TH St
Suite 6581
Oak Lawn, IL 60453-2105
Phone
(708) 599-5000
Fax
(708) 599-5000
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036-067558 IL Primary

Addresses

Primary practice location

6701 W 95TH St
Suite 6581
Oak Lawn, IL 60453-2105

Mailing address

6701 W 95TH St
Suite 6581
Oak Lawn, IL 60453-2105
Phone (708) 599-5000

Other identifiers 3

IdentifierTypeStateIssuer
036067558OtherILSTATE LICENSE
200021469OtherILRAILROAD MEDICARE PROVIDER NUMBER
036067558OtherILBLUE CROSS BLUE SHIELD PROVIDER NUMBER

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-067558ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Consultants SC Orthopaedic Surgery PastSince Aug 1, 2005 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: j.perezsanz@direct.advancedorthospine.com

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1205880317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 W 95TH ST",
            "address_2": "SUITE 6581",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532105",
            "telephone_number": "708-599-5000",
            "fax_number": "708-599-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W 95TH ST",
            "address_2": "SUITE 6581",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532105",
            "telephone_number": "708-599-5000",
            "fax_number": "708-599-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-SANZ",
        "first_name": "JOSE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-067558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036067558",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "200021469",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
            "identifier": "036067558",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.