Individual provider Active NPI

James Francis Sullivan, MD

  • Infectious Disease Physician
  • Chicago, IL
National Provider Identifier
1346236379
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036-080113 Issued in IL
Practice address
2900 N Lake Shore Dr
Suite 1231
Chicago, IL 60657-5640
Phone
(773) 665-3261
Fax
(773) 665-9435
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036-080113 IL Primary

Addresses

Primary practice location

2900 N Lake Shore Dr
Suite 1231
Chicago, IL 60657-5640

Mailing address

777 Oakmont LN
Suite 1600
Westmont, IL 60559-5511
Phone (630) 789-2550

Other practice location 1

2913 N Commonwealth Ave Fl 5
Chicago, IL 60657-6211
Phone (773) 883-2800

Other identifiers 1

IdentifierTypeStateIssuer
036080113MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsullivan5768@ce-direct.presencehealth.org

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
I20100306000254 IL Practitioner - Infectious DiseasePractitioner - Internal Medicine 7517002165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeshore Infectious Disease Associates LTD.Group PAC ID 5395659395, 4 clinicians
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

2900 N Lake Shore Dr
Suite 1231
Chicago, IL 60657-5640
Phone (773) 665-3261

2913 N Commonwealth Ave
Chicago, IL 60657-6211
Phone (773) 665-3080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-080113ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services Current Accepting new patients
Lakeshore Infectious Disease Associates LTD. Infectious Disease CurrentSince Jan 1, 1995 Accepting new patients
Presence Healthcare Services CurrentSince Oct 1, 2016 Accepting new patients
Presence Healthcare Services CurrentSince Oct 1, 2016 Accepting new patients

Locations

1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440
Phone (630) 914-2417

2900 N Lake Shore Dr
Fl 1
Chicago, IL 60657
Phone (773) 665-3080

62311 Collection Ctr Dr
Chicago, IL 60693

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

2900 N Lakeshore
Ste 1231
Chicago, IL 60657
Phone (773) 665-3261

2913 N Commonwealth Ave
Chicago, IL 60657
Phone (773) 665-3080

2913 N Commonwealth Ave
Fl 5
Chicago, IL 60657
Phone (773) 472-3427

2900 N Lake Shore Dr
#1231
Chicago, IL 60657
Phone (773) 665-3261

1730 Park St
Ste 101
Naperville, IL 60563
Phone (630) 718-0200

777 Oakmont Ln
Ste 1600
Westmont, IL 60559

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.

Hospital & facility affiliations 2

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1346236379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-789-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "address_2": "SUITE 1231",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575640",
            "telephone_number": "773-665-3261",
            "fax_number": "773-665-9435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2913 N Commonwealth Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606576211",
            "country_code": "US",
            "telephone_number": "773-883-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JAMES",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036-080113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036080113",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsullivan5768@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2913 N Commonwealth Ave Fl 5",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.