NPIMap

Individual provider Active NPI

Sydney Ruth Sheets, PA

  • Physician Assistant
  • Lincolnshire, IL
National Provider Identifier
1225773237
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
444 Parkway Dr Apt 442
Lincolnshire, IL 60069-4380
Phone
(224) 330-5808
NPI assigned
May 3, 2022
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

444 Parkway Dr Apt 442
Lincolnshire, IL 60069-4380

Mailing address

444 Parkway Dr Apt 442
Lincolnshire, IL 60069-4380

Other names 1

  • Sydney Ruth Israel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726001599 MI Practitioner - Physician Assistant 6002277894 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Urgent Care Troy West PCGroup PAC ID 1850778291, 4 clinicians
Doctors Urgent Care Sterling Heights WestGroup PAC ID 7618368705, 4 clinicians
Sterling Heights Urgent Care Walk-in ClinicGroup PAC ID 5092077586, 2 clinicians

Practice addresses (Care Compare)

1933 W Maple Rd
Doctors UC Troy West
Troy, MI 48084-7109
Phone (248) 250-6420

2161 18 Mile Rd
Sterling Heights, MI 48314-3705
Phone (248) 250-6420

43722 Schoenherr Rd
Sterling Heights, MI 48313-1142
Phone (586) 262-4277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1225773237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 PARKWAY DR APT 442",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600694380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 PARKWAY DR APT 442",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600694380",
            "telephone_number": "224-330-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "SYDNEY",
        "middle_name": "RUTH",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "ISRAEL",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincolnshire, IL

Sources for this page

Verify at the official NPI Registry.