Individual provider Active NPI

Stephen Carl Sorenson, MD

  • Phlebology Physician
  • Lake Zurich, IL
National Provider Identifier
1457311524
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
036092571 Issued in IL
Practice address
795 Ela Rd Ste 115
Lake Zurich, IL 60047-6307
Phone
(847) 550-4984
Fax
(847) 847-7289
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 036092571 IL Primary

Addresses

Primary practice location

795 Ela Rd Ste 115
Lake Zurich, IL 60047-6307

Mailing address

795 Ela Rd Ste 115
Lake Zurich, IL 60047-6307
Phone (847) 550-4984

Other practice location 1

1670 Capital St Ste 500
Elgin, IL 60124-8079
Phone (847) 468-9900

Other identifiers 1

IdentifierTypeStateIssuer
01622308OtherILBXBS

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
I20050606000457 IL Practitioner - Emergency MedicinePractitioner - Peripheral Vascular DiseasePractitioner - Other (Physician) 1759324395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Peripheral Vascular Disease
Education
State University of New York at Buffalo School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Vein Specialists-Elgin SCGroup PAC ID 8729262662, 2 clinicians

Practice addresses (Care Compare)

1670 Capital St
Suite 500
Elgin, IL 60124-8079
Phone (847) 468-9900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal184

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Vein Specialists-Elgin SC Phlebology CurrentSince Jan 17, 2011 Accepting new patients

Locations

1670 Capital St
Ste 500
Elgin, IL 60124
Phone (847) 468-9900

795 Ela Rd
Ste 115
Lake Zurich, IL 60047
Phone (847) 550-4984

Interoperability endpoints

  • Direct secure messaging: stephen.sorenson.1@13047.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1457311524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 ELA RD STE 115",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600476307",
            "telephone_number": "847-550-4984",
            "fax_number": "847-847-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 ELA RD STE 115",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600476307",
            "telephone_number": "847-550-4984",
            "fax_number": "847-847-7289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1670 Capital St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601248079",
            "country_code": "US",
            "telephone_number": "847-468-9900",
            "fax_number": "847-468-9901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "STEPHEN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036092571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "01622308",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

Verify at the official NPI Registry.