Individual provider Active NPI

Saied Ghadersohi, M.D.

  • Pediatric Otolaryngology Physician
  • Chicago, IL
National Provider Identifier
1235556192
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
036152914 Issued in IL
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

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211026002885 IL Practitioner - OtolaryngologyPractitioner - Pediatric Medicine 1355645458 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036152914ILMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lurie Childrens Surgical Foundation Inc CurrentSince Jul 22, 2021 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 PastSince Aug 2, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.