Active NPI
Jose R. Perez-Sanz, MD
- Orthopaedic Surgery Physician
- Oak Lawn, IL
National Provider Identifier
1205880317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036-067558
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036067558 | Other | IL | STATE LICENSE |
| 200021469 | Other | IL | RAILROAD MEDICARE PROVIDER NUMBER |
| 036067558 | Other | IL | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-067558 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Orthopedic Consultants SC | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Orthopaedic Surgery Physician
- Orland Park, IL
- NPI 1457373953
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.