Active NPI
Ross A. Slotten, MD
- Adult Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 036064610
- Practice address
- 711 W North Ave
Ste 209
Chicago, IL 60610-1174 - Phone
- (312) 280-0996
- Fax
- (312) 280-8789
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036064610 | IL | |
| Adult Medicine Physician | 207QA0505X | 036064610 | IL | Primary |
Addresses
Primary practice location
711 W North Ave
Ste 209
Chicago, IL 60610-1174
Mailing address
711 W North Ave
Ste 209
Chicago, IL 60610-1174
Phone (312) 280-0996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036064610 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rslotten17185@ce-direct.presencehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Northwestern University Feinberg Medical School, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000
2845 N Sheridan Rd
Chicago, IL 60657-7227
331 W Surf St
Chicago, IL 60657-7227
711 W N Ave
Chicago, IL 60610-1042
Hospital & facility affiliations
- Presence Saint Joseph Hospital - Chicago
- Saint Francis Hospital-Evanston
- Northshore University Healthsystem - Evanston Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036064610 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Healthcare Services | Family Medicine | Current | Accepting new patients |
| Presence Healthcare Services | Family Medicine | Current | Accepting new patients |
| Presence Healthcare Services | Current | Accepting new patients | |
| Presence Healthcare Services | Past | Accepting new patients |
Locations
62311 Collection Ctr Dr
Chicago, IL 60693
2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846
331 W Surf St
Ste 805
Chicago, IL 60657
711 W North Ave
Ste 209
Chicago, IL 60610
Phone (312) 280-0996
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Elk Grove Village, IL
- NPI 1932216819
Family Medicine
-
- Internal Medicine Physician
- Bolingbrook, IL
- NPI 1043748338
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1922115864
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1679659585
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1619089174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W NORTH AVE",
"address_2": "STE 209",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606101174",
"telephone_number": "312-280-0996",
"fax_number": "312-280-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W NORTH AVE",
"address_2": "STE 209",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606101174",
"telephone_number": "312-280-0996",
"fax_number": "312-280-8789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOTTEN",
"first_name": "ROSS",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036064610",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "IL",
"license": "036064610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036064610",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rslotten17185@ce-direct.presencehealth.org",
"affiliation": "N",
"address_1": "711 W North Ave",
"address_2": "STE 209",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606101174",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 26, 2021; 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.