NPIMap

Organization Active NPI

Mount Sinai Hospital Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
National Provider Identifier
1619059300
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
5229 Issued in IL
Legal business name
MOUNT SINAI HOSPITAL MEDICAL CENTER
Practice address
2750 W 15TH PL
Chicago, IL 60608-1704
Phone
(773) 257-2000
NPI assigned
Oct 20, 2006
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNT SINAI HOSPITAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Christopher Stephens
Title
Credentialing Manager
Phone
(773) 257-2933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 5229 IL Primary

Addresses

Primary practice location

2750 W 15TH PL
Chicago, IL 60608-1704

Mailing address

2750 W 15TH PL
Chicago, IL 60608-1704
Phone (773) 257-2000

Other names 1

  • Mount Sinai Hospital - Renal Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100318000311 IL Part A Provider - End-Stage Renal Disease Facility (ESRD) 6901800556 Practice locations: Chicago, IL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mount Sinai Hospital21 organizations share this tax ID, including this one
Part of
Mount Sinai Hospital

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

2028 Paysphere Cir
Chicago, IL 60674
Phone (773) 257-2000

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1619059300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W 15TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081704",
            "telephone_number": "773-257-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W 15TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081704",
            "telephone_number": "773-257-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "773-257-2933"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "IL",
            "license": "5229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Sinai Hospital - Renal",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.