James Paul Sur, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

036112473 Issued in IL

Practice address

11560 S Kedzie Ave Ste 100
Merrionette Park, IL 60803-4517

Phone

(708) 824-1114

Fax

(708) 824-9341

NPI assigned

Jul 24, 2007

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 3

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

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Loyola University of Chicago, Stritch School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart Care Centers of Illinois, S.C.Group PAC ID 6103738810, 37 clinicians

Gottlieb Community Health Services CorporationGroup PAC ID 3375442999, 42 clinicians

Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
• Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
• Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065
• Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
• Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adventist Health Partners, Inc.

  • Multi-Specialty Clinic/Center
  • La Grange, IL
  • NPI 1932650496
  Medicare reassignment Care Compare group NPD
• Gottlieb Community Health Services Corporation

  • General Practice Physician
  • Berwyn, IL
  • NPI 1013415603
  Medicare reassignment Care Compare group NPD
• Heart Care Centers of Illinois, SC

  • Cardiovascular Disease Physician
  • Palos Park, IL
  • NPI 1508810086

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Premier Vascular, LLC

  • Interventional Cardiology Physician
  • Merrionette Park, IL
  • NPI 1366890782

  Cardiovascular Disease

  Medicare reassignment NPD
• Adventist Health Partners,Inc

  dba Glendale Family Practice

  • Family Medicine Physician
  • Bloomingdale, IL
  • NPI 1043255888
  NPD
• Gottlieb Community Health Services Corporation

  • Psychiatric Hospital Unit
  • Berwyn, IL
  • NPI 1700864352
  NPD
• Adventist Health Partners,Inc

  dba Family Practice Associates

  • Family Medicine Physician
  • Hinsdale, IL
  • NPI 1265475032
  NPD (past)
• Robert M. Gasior, M.D., F.a.C.S., S.C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Blue Island, IL
  • NPI 1972977676
  NPD (past)

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

• Adventist Midwest Health

  • General Acute Care Hospital
  • Hinsdale, IL
  • NPI 1265465439
  Care Compare affiliation
• Adventist Midwest Health

  dba Adventhealth la Grange

  • General Acute Care Hospital
  • La Grange, IL
  • NPI 1407889652
  Care Compare affiliation
• Adventist Midwest Health

  dba Adventhealth Hinsdale

  • Psychiatric Hospital Unit
  • Hinsdale, IL
  • NPI 1447270780
  Care Compare affiliation
• Adventist Midwest Health

  dba Adventhealth la Grange

  • Rehabilitation Hospital Unit
  • La Grange, IL
  • NPI 1588068274
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  dba Advocate Children's Hospital

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  dba Advocate Christ Medical Center

  • General Acute Care Hospital
  • Oak Lawn, IL
  • NPI 1548375082
  Care Compare affiliation
• Palos Community Hospital

  • Psychiatric Hospital Unit
  • Palos Heights, IL
  • NPI 1184699118
  Care Compare affiliation
• Palos Community Hospital

  • General Acute Care Hospital
  • Palos Heights, IL
  • NPI 1851386692
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Rehabilitation Hospital Unit
  • New Lenox, IL
  • NPI 1003933797
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  dba Silver Cross Hospital

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  Care Compare affiliation

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1447450788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE STE 100",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641508",
            "telephone_number": "708-478-3600",
            "fax_number": "708-478-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 S KEDZIE AVE STE 100",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608034517",
            "telephone_number": "708-824-1114",
            "fax_number": "708-824-9341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19001 Old Lagrange Road",
            "address_2": "Heart Care Centers of Illinois, S.C.",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604488012",
            "country_code": "US",
            "telephone_number": "708-478-3600 x1430",
            "fax_number": "708-390-2130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3231 Euclid Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023472",
            "country_code": "US",
            "telephone_number": "708-783-2055",
            "fax_number": "708-783-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13011 S 104th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Palos Park",
            "state": "IL",
            "postal_code": "604641508",
            "country_code": "US",
            "telephone_number": "708-274-3278",
            "fax_number": "708-274-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUR",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036112473",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036112473",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036112473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsur276160@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4440 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsur-sm@heartcc.com",
            "affiliation": "N",
            "address_1": "13011 S 104th Ave Ste 100",
            "city": "Palos Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604641508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4440 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Uriah Smith, BA
• Madelin Noel Spagnola, QMHP
• Ashley Staszak
• Clifton Shavar Stewart, RSA
• Bailey M Stultz
• Lynda Gayle Swan-McClendon, LCSW
• Synergy Medical Associates
• Ula Tarabichi
• Kelly Tavormina
• Sean P Tierney, M.D.

• Interventional Cardiology Physician in Merrionette Park, IL
• Providers in Merrionette Park, IL by specialty
• Interventional Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.