Active NPI
Josip Pasic, M.D.
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1235258849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036-050621
- Practice address
- 5510 N. Sheridan Road
#7A
Chicago, IL 60640 - Phone
- (773) 728-6805
- Fax
- (773) 293-3907
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036-050621 | IL | Primary |
Addresses
Primary practice location
5510 N. Sheridan Road
#7A
Chicago, IL 60640
Mailing address
5510 N. Sheridan Road
#7A
Chicaog, IL 60640
Phone (773) 728-6805
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036050621 | Medicaid | IL | |
| 036050621 | Other | IL | LISCENSE 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 |
|---|---|---|---|
| 036-050621 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Community Service | Past | Accepting new patients | |
| Circle Family Healthcare Network, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Health Clinic/Center
- Chicago, IL
- NPI 1649399106
-
- Community Health Clinic/Center
- Chicago, IL
- NPI 1194817809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341619200000",
"number": "1235258849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 N. SHERIDAN ROAD",
"address_2": "#7A",
"city": "CHICAOG",
"state": "IL",
"postal_code": "60640",
"telephone_number": "773-728-6805",
"fax_number": "773-293-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 N. SHERIDAN ROAD",
"address_2": "#7A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60640",
"telephone_number": "773-728-6805",
"fax_number": "773-293-3907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASIC",
"first_name": "JOSIP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2012-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-050621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036050621",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSE NUMBER",
"identifier": "036050621",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.