Individual provider Active NPI

Stephen Jensik, M.D.

  • Transplant Surgery Physician
  • Chicago, IL
National Provider Identifier
1245269869
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
036-050846 Issued in IL
Practice address
1725 W Harrison St
Suite 161
Chicago, IL 60612-3841
Phone
(312) 942-4252
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 036-050846 IL Primary

Addresses

Primary practice location

1725 W Harrison St
Suite 161
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St
Suite 161
Chicago, IL 60612-3841
Phone (312) 942-4252

Other practice location 1

9050 W 81st St
Justice, IL 60458-1350
Phone (773) 284-9247

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101222000109 IL Practitioner - General Surgery 8820286503 Reassigns benefits to 2 organizations
I20250129000655 IN Practitioner - General Surgery 8820286503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

12800 Mississippi Pkwy
Suite C101
Crown Point, IN 46307-6901
Phone (312) 942-8910

1620 W Harrison St
Chicago, IL 60612-3801

1653 W Congress Pkwy
Chicago, IL 60612-3833

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

1725 W Harrison St
Chicago, IL 60612-3861

1725 W Harrison St
Suite 450
Chicago, IL 60612-4828
Phone (312) 563-4238

520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 660-2240

Hospital & facility affiliations

  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Illinois, LTD. CurrentSince Apr 1, 2020 Accepting new patients
Rush University Medical Center CurrentSince Jan 14, 2019 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. CurrentSince Apr 1, 2020 Accepting new patients
Rush University Medical Group CurrentSince Jan 14, 2019 Accepting new patients
Rush University Medical Center Past Accepting new patients

Locations

2055 W Army Trail Rd
Ste 110N
Addison, IL 60101
Phone (773) 284-9247

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884

1725 W Harrison St
Ste 161
Chicago, IL 60612
Phone (312) 942-4252

800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182

120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000

9050 W 81st St
Oak Lawn, IL 60458
Phone (708) 563-0330

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

12800 Mississippi Pkwy
Ste C101
Crown Point, IN 46307
Phone (219) 661-0444

Interoperability endpoints

  • Direct secure messaging: sjensik4112@direct.rush.rush-health.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1245269869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 161",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 161",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-4252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9050 W 81st St",
            "address_purpose": "LOCATION",
            "city": "Justice",
            "state": "IL",
            "postal_code": "604581350",
            "country_code": "US",
            "telephone_number": "773-284-9247",
            "fax_number": "773-284-9249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSIK",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "IL",
            "license": "036-050846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.