Organization Active NPI

Mount Sinai Medical Center

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1508026030
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
036099316 Issued in IL
Legal business name
MOUNT SINAI MEDICAL CENTER
Practice address
California at 15 TH Street
Department of Cardiology
Chicago, IL 60608
Phone
(773) 257-6452
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Evyan Jawad, MD
Title
Cardiology Fellow
Phone
(773) 257-6452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 036099316 IL Primary

Addresses

Primary practice location

California at 15 TH Street
Department of Cardiology
Chicago, IL 60608

Mailing address

California at 15 TH Street
Department of Cardiology
Chicago, IL 60608

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1508026030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALIFORNIA AT 15 TH STREET",
            "address_2": "DEPARTMENT OF CARDIOLOGY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALIFORNIA AT 15 TH STREET",
            "address_2": "DEPARTMENT OF CARDIOLOGY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "773-257-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "JAWAD",
        "authorized_official_first_name": "EVYAN",
        "authorized_official_title_or_position": "CARDIOLOGY FELLOW",
        "authorized_official_telephone_number": "773-257-6452",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "036099316",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.