Active NPI
Sara M Bradley, MD
- Geriatric Medicine (Internal Medicine) Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 036140172
- Practice address
- 675 N Saint Clair St
Chicago, IL 60611-5975 - Phone
- (312) 695-8630
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 036140172 | IL | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 229694 | NY |
Addresses
Primary practice location
675 N Saint Clair St
Chicago, IL 60611-5975
Mailing address
680 N Lake Shore Dr
Suite 1000
Chicago, IL 60611-4546
Phone (312) 695-9797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02869285 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- University of Pittsburgh School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1135 S Delano CT E
Chicago, IL 60605-3457
Phone (630) 933-1500
1135 W Delano CT
A201
Chicago, IL 60605-3457
Phone (312) 695-0665
1333 W Belmont Ave
Chicago, IL 60657-5785
1630 Sherman Ave
Evanston, IL 60201-3711
171 N Aberdeen St
Suite 100
Chicago, IL 60607-1669
Phone (312) 926-4150
233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 358-4414
235 S Gary Ave
Suite 100
Bloomingdale, IL 60108-2213
Phone (630) 893-9600
251 E Huron
Chicago, IL 60611-2908
251 E Huron St
Chicago, IL 60611-2908
425 Sand Creek Dr
Chesterton, IN 46304-1589
4445 W Irving Park Rd
Chicago, IL 60641-2808
636 Raymond Dr
Suite 107
Naperville, IL 60563-9789
Phone (630) 416-2300
660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Home Care Experts
- Accentcare Home Health of Illinois
- Journeycare Home Health - Chicago
- Northwestern Memorial Hospital
- Palos Community Hospital
- Northwestern Medicine Central Dupage Hospital
- Northwestern Lake Forest Hospital
- Shirley Ryan Abilitylab
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Geriatric Medicine | Past | Accepting new patients |
| Mount Sinai School of Medicine | Geriatric Medicine | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
675 N Saint Clair St
Ste 18-200
Chicago, IL 60611
Phone (312) 695-4525
675 N Saint Clair St
Chicago, IL 60611
Phone (312) 664-3278
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Physical Therapist
- Chesterton, IN
- NPI 1467608687
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Geriatric Medicine
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1275594434
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Barrington, IL
- NPI 1740377266
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- Home Health Agency
- Lombard, IL
- NPI 1528094109
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
-
- Home Health Agency
- Burr Ridge, IL
- NPI 1013928357
-
- Rehabilitation Hospital
- Chicago, IL
- NPI 1205879095
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1487873808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"address_2": "SUITE 1000",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-695-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N SAINT CLAIR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115975",
"telephone_number": "312-695-8630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "SARA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "IL",
"license": "036140172",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "229694",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02869285",
"state": "NY"
}
],
"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 Sep 2, 2016; 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.