Individual provider Active NPI

Sheri Dewan, MD

  • Neurological Surgery Physician
  • Geneva, IL
National Provider Identifier
1497972640
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036.131019 Issued in IL
Practice address
351 Delnor Dr
Geneva, IL 60134
Phone
(630) 933-4056
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036.131019 IL Primary

Addresses

Primary practice location

351 Delnor Dr
Geneva, IL 60134

Mailing address

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 933-4056

Other practice location 1

302 Randall Rd
Ste 104A
Geneva, IL 60134-4209
Phone (630) 933-4056

Other practice location 2

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 933-4056

Other identifiers 3

IdentifierTypeStateIssuer
206147OtherILMEDICARE PTAN (GROUP)
F400189058OtherILMEDICARE PTAN (INDIVIDUAL)
036131019MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121022000784 IL Practitioner - Neurosurgery 0648420927 Reassigns benefits to 2 organizations
I20141001002723 WI Practitioner - Neurosurgery 0648420927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia St Marys Hospital Milwaukee IncGroup PAC ID 5890604722, 311 clinicians

Practice addresses (Care Compare)

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300

Hospital & facility affiliations

  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

Merit-based Incentive Payment System (MIPS)

Final score
86.69 of 100Reported as group
Quality
82.35
Promoting interoperability
98
Improvement activities
40
Cost
74.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.131019ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Oct 15, 2014 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Dec 1, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Dec 1, 2024 Accepting new patients
Central Dupage Physician Group Neurological Surgery CurrentSince Oct 15, 2014 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Oct 17, 2024 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Sep 12, 2012 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

302 Randall Rd
Ste 104A
Geneva, IL 60134
Phone (630) 377-4020

351 Delnor Dr
Geneva, IL 60134
Phone (630) 262-1001

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

10500 W Loomis Rd
Ste 130
Franklin, WI 53132
Phone (414) 488-0678

2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 7

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 3

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1497972640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "60190",
            "telephone_number": "630-933-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 DELNOR DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "60134",
            "telephone_number": "630-933-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Randall Rd",
            "address_2": "Ste 104A",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344209",
            "country_code": "US",
            "telephone_number": "630-933-4056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 N Winfield Rd",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "60190",
            "country_code": "US",
            "telephone_number": "630-933-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWAN",
        "first_name": "SHERI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036.131019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (GROUP)",
            "identifier": "206147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDIVIDUAL)",
            "identifier": "F400189058",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036131019",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.