Active NPI
Ian Sheffield Hackett, M.D.
- Cardiovascular Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036.148550
- 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
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 |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Saint Louis University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
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
- Western Wisconsin Health
- Ladd Memorial Hospital
- St Croix Regional Medical Center
- River Falls Area Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.148550 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Emergency Medicine Physician
- River Falls, WI
- NPI 1578507513
-
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Family Medicine Physician
- Savage, MN
- NPI 1952343691
-
- Rural Health Clinic/Center
- Osceola, WI
- NPI 1801394549
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
Hospital & facility affiliations 22
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- Critical Access Hospital
- River Falls, WI
- NPI 1285691725
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1457319485
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1508457045
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.