Individual provider Active NPI

George Sianis, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1255366191
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-063761 Issued in IL
Practice address
4921 N Western Ave
Chicago, IL 60625-1921
Phone
(773) 478-5600
Fax
(773) 478-5602
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036-063761 IL
Surgery Physician 208600000X 036-063761 IL
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036-063761 IL Primary

Addresses

Primary practice location

4921 N Western Ave
Chicago, IL 60625-1921

Mailing address

6374 N Lincoln Ave
Suite 301
Chicago, IL 60659-1275
Phone (773) 478-5600

Other identifiers 3

IdentifierTypeStateIssuer
036063761MedicaidIL
01635073OtherILBCBS
P00390786OtherILRAILROAD MEDICARE

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
I20050401000013 IL Practitioner - General PracticePractitioner - General SurgeryPractitioner - Internal Medicine 1153378369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4921 N Western Ave
Chicago, IL 60625-1921
Phone (773) 478-5600

Hospital & facility affiliations

  • TSC Health Inc Home health agency, Wood Dale, IL, CCN 148385
  • Hands and Heart Home Health, Inc Home health agency, Wilmette, IL, CCN 148220
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Greek American Rehab Care Ctr Nursing home, Wheeling, IL, CCN 146031

Merit-based Incentive Payment System (MIPS)

Final score
22.31 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-063761ILMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care One SC Single Specialty CurrentSince Jan 1, 2005 Accepting new patients
Northwest Advanced Surgical Associates, SC Single Specialty CurrentSince Jan 1, 2007 Accepting new patients

Locations

4921 N Western Ave
Chicago, IL 60625
Phone (773) 478-5600

6374 N Lincoln Ave
Ste 301
Chicago, IL 60659
Phone (630) 924-1450

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.

Hospital & facility affiliations 7

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1255366191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE",
            "address_2": "SUITE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591275",
            "telephone_number": "773-478-5600",
            "fax_number": "773-478-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251921",
            "telephone_number": "773-478-5600",
            "fax_number": "773-478-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIANIS",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036-063761",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-063761",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-063761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036063761",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01635073",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00390786",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.