Active NPI
Saied Ghadersohi, M.D.
- Pediatric Otolaryngology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 036152914
- Practice address
- 225 E Chicago Ave # 25
Chicago, IL 60611-2991 - Phone
- (800) 543-7362
- NPI assigned
- Mar 27, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 036152914 | IL | Primary |
Addresses
Primary practice location
225 E Chicago Ave # 25
Chicago, IL 60611-2991
Mailing address
225 E Chicago Ave # 25
Chicago, IL 60611-2991
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036152914 | IL | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Childrens Surgical Foundation Inc | Current | Accepting new patients | |
| Lurie Childrens Pediatric Anesthesia Associates | Current | Accepting new patients | |
| Lurie Children'S Medical Group, LLC | Past | Accepting new patients | |
| Lurie Children'S Medical Group Inc | Past | Accepting new patients |
Locations
225 E Chicago Ave
#25
Chicago, IL 60611
Phone (312) 227-6230
225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415
225 E Chicago Ave
#118
Chicago, IL 60611
1870 Silver Cross Blvd
Ste 100LCSF
New Lenox, IL 60451
1121 Techny Rd
Northbrook, IL 60062
Phone (312) 227-2700
2301 Enterprise Dr
Westchester, IL 60154
Phone (312) 227-6415
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Pediatric Surgery Physician
- Chicago, IL
- NPI 1356822050
-
- Pediatric Anesthesiology Physician
- Chicago, IL
- NPI 1063955078
-
- Pediatrics Physician
- Chicago, IL
- NPI 1518064716
-
- Pediatrics Physician
- Chicago, IL
- NPI 1992758544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1235556192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE # 25",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE # 25",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "800-543-7362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHADERSOHI",
"first_name": "SAIED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-27",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "IL",
"license": "036152914",
"primary": true
}
],
"identifiers": [],
"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 Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.