Charles Bradley Schubert, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

036097485 Issued in IL

Practice address

1950 N Harlem Ave
Elmwood Park, IL 60707-3717

Phone

(708) 453-6800

Fax

(708) 453-3235

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

General SurgeryAlso: Vascular Surgery

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
• Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018
• Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.schubert.1@6699.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/6699/brand/1/csg/1/fhir/r4

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.

• Mount Sinai Community Foundation

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1376715896
  Medicare reassignment Care Compare group NPD
• Schubert Surgical Services SC

  • Vascular Surgery Physician
  • Chicago, IL
  • NPI 1629825294
  Medicare reassignment NPD Authorized official
• Tiesenga Surgical Associates, S.C.

  • Surgery Physician
  • Elmwood Park, IL
  • NPI 1801876586
  Medicare reassignment NPD
• Mount Sinai Community Foundation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982657854
  NPD
• Cardiothoracic & Vascular Surgical Associates S C

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oak Lawn, IL
  • NPI 1780679407
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mount Sinai Hospital Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1871581314
  Care Compare affiliation
• Rush Oak Park Hospital Inc

  • General Acute Care Hospital
  • Oak Park, IL
  • NPI 1558391706
  Care Compare affiliation
• Saint Mary of Nazareth Hospital - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1265270607
  Care Compare affiliation

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1245219641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "60707",
            "telephone_number": "708-453-6800",
            "fax_number": "708-453-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073717",
            "telephone_number": "708-453-6800",
            "fax_number": "708-453-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBERT",
        "first_name": "CHARLES",
        "middle_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036097485",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036097485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36097485",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "971720",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Samatas, CCC-SLP
• Samir Suleiman MD SC
• Dina Annsar Samrah, DPT
• Manuel D Santiago, MD
• Carly Christine Schneider, LCPC
• Mariya Shcherbyuk
• Silvia Guerrero MD LLC
• Neil Singh
• Weronika Siwak, RN
• Adam Slota, MA CCC-SLP

• Vascular Surgery Physician in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Vascular Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.