Individual provider Active NPI

Ross A. Slotten, MD

  • Adult Medicine Physician
  • Chicago, IL
National Provider Identifier
1619089174
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
036064610 Issued in IL
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

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036064610MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215000977 IL Practitioner - Family Practice 7618165705 Reassigns benefits to 1 organization

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
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

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 Hospital, Chicago, IL, CCN 140224
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036064610ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Presence Healthcare Services Family Medicine Current Accepting new patients
Presence Healthcare Services CurrentSince Jul 1, 2016 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.