Individual provider Active NPI

Ian Sheffield Hackett, M.D.

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1548655970
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036.148550 Issued in IL
Practice address
5841 S Maryland Ave Ste Mc6080
Chicago, IL 60637-1641
Phone
(773) 702-5211
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 036.148550 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave Ste Mc6080
Chicago, IL 60637-1641

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Phone (737) 021-1507

Other practice location 1

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, 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
I20220429001152 MN Practitioner - Cardiovascular Disease (Cardiology) 0143509943 Reassigns benefits to 1 organization
I20220914002793 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143509943 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Saint Louis University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-3311

1629 E Division St
River Falls, WI 54022-1571
Phone (612) 262-1200

1687 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6432

225 Smith Ave N
Suite 400
St Paul, MN 55102-2568
Phone (651) 241-7176

257 W Saint George Ave
Grantburg, WI 54840-7827
Phone (715) 463-5353

PO Box
Suite 43
Minneapolis, MN 55440-0043

Hospital & facility affiliations

  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • Western Wisconsin Health Hospital, Baldwin, WI, CCN 521347
  • Ladd Memorial Hospital Hospital, Osceola, WI, CCN 521318
  • St Croix Regional Medical Center Hospital, Saint Croix Falls, WI, CCN 521337
  • River Falls Area Hospital Hospital, River Falls, WI, CCN 521349

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.148550ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ladd Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Allina Health System CurrentSince Jun 1, 2022 Accepting new patients
Allina Health System CurrentSince Jun 1, 2022 Accepting new patients
Ladd Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jul 22, 2022 Accepting new patients
Allina Health System Past Accepting new patients

Locations

1540 Lake St S
Forest Lake, MN 55025
Phone (651) 464-7100

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

225 Smith Ave N
Ste 400
Saint Paul, MN 55102
Phone (651) 241-7176

4194 Lexington Ave N
Shoreview, MN 55126
Phone (651) 483-5461

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

Interoperability endpoints

  • Direct secure messaging: ihackett570190@excellian.direct.allina.com

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 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1548655970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HARVESTER DR STE 110",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276686",
            "telephone_number": "737-021-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE STE MC6080",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371641",
            "telephone_number": "773-702-5211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320001",
            "country_code": "US",
            "telephone_number": "801-581-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "IAN",
        "middle_name": "SHEFFIELD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.148550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.