Individual provider Active NPI

Sheila Downey Ballintine, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1467794859
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-140499 Issued in IL
Practice address
200 S Michigan Ave
Suite 805
Chicago, IL 60604-2402
Phone
(312) 922-3815
Fax
(312) 922-7449
NPI assigned
Mar 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-140499 IL Primary

Addresses

Primary practice location

200 S Michigan Ave
Suite 805
Chicago, IL 60604-2402

Mailing address

200 S Michigan Ave
Suite 805
Chicago, IL 60604-2402
Phone (312) 922-3815

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
I20160629000256 IL Practitioner - Internal Medicine 5193016731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Avenue Internists 7 clinicians

Practice addresses (Care Compare)

200 S Michigan Ave
Suite 1400
Chicago, IL 60604-2426
Phone (312) 922-3815

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-140499ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Avenue Internists Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Angelo a Costas MD SC Internal Medicine Current Accepting new patients
Shirley Lee Termolen MD SC Internal Medicine Current Accepting new patients
Ami P Desai MD SC Internal Medicine Current Accepting new patients
David a Vermylen MD SC Internal Medicine Current Accepting new patients
Sheila D Ballintine MD SC Internal Medicine Current Accepting new patients

Locations

200 S Michigan Ave
Ste 1400
Chicago, IL 60604
Phone (312) 922-3815

200 S Michigan Ave
Ste 805
Chicago, IL 60604
Phone (312) 922-3815

Organizations & group practices 6

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": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1467794859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MICHIGAN AVE",
            "address_2": "SUITE 805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606042402",
            "telephone_number": "312-922-3815",
            "fax_number": "312-922-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MICHIGAN AVE",
            "address_2": "SUITE 805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606042402",
            "telephone_number": "312-922-3815",
            "fax_number": "312-922-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINTINE",
        "first_name": "SHEILA",
        "middle_name": "DOWNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-23",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-140499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.