Organization Active NPI

Mount Sinai Hospital Medical Center

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1407209208
Registry record updated Jul 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MOUNT SINAI HOSPITAL MEDICAL CENTER
Practice address
1501 S California Ave # L1026
Chicago, IL 60608-1732
Phone
(773) 257-6097
NPI assigned
Jul 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2016

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

Authorized official

Name
Dr. Amritpal Singh Jawanda, MD
Title
Resident
Phone
(360) 224-2599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1501 S California Ave # L1026
Chicago, IL 60608-1732

Mailing address

1501 S California Ave # L1026
Chicago, IL 60608-1732
Phone (773) 257-6097

National Provider Directory

National Provider Directory

Locations

1501 S California Ave
#L1026
Chicago, IL 60608
Phone (708) 406-5929

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468627200000",
    "number": "1407209208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S CALIFORNIA AVE # L1026",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081732",
            "telephone_number": "773-257-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CALIFORNIA AVE # L1026",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081732",
            "telephone_number": "773-257-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-16",
        "last_updated": "2016-07-16",
        "status": "A",
        "authorized_official_last_name": "JAWANDA",
        "authorized_official_first_name": "AMRITPAL",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "360-224-2599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.