NPIMap

Individual provider Active NPI

Sorel Lira, M.D

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1639445331
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036137621 Issued in IL
Practice address
2875 W 19TH St
Chicago, IL 60623-3501
Phone
(773) 484-1000
NPI assigned
Mar 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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 036137621 IL Primary
Hospitalist Physician 208M00000X 036137621 IL

Addresses

Primary practice location

2875 W 19TH St
Chicago, IL 60623-3501

Mailing address

4318 S Forrestville Ave
Chicago, IL 60653-4176
Phone (773) 543-3979

Other identifiers 1

IdentifierTypeStateIssuer
214881OtherILMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151119001684 IL Practitioner - HospitalistPractitioner - General SurgeryPractitioner - Family Practice 9133429343 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians
Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians
Emergency Medical Specialists II SCGroup PAC ID 6002711603, 8 clinicians

Practice addresses (Care Compare)

1000 Health Ctr Dr
Mattoon, IL 61938-4644
Phone (217) 258-2525

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4425

3435 W Van Buren St
Chicago, IL 60624-3312
Phone (773) 826-6300

4177 S Archer Ave
Chicago, IL 60632-1849
Phone (773) 254-2222

Hospital & facility affiliations

  • Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Services Illinois, LTD Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 24, 2018 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Oct 14, 2016 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Sep 10, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 24, 2018 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

405 W Jackson St
Carbondale, IL 62901

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

3435 W Van Buren St
Chicago, IL 60624
Phone (773) 265-7700

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

29373 Network Pl
Chicago, IL 60673

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 9

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1639445331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 S FORRESTVILLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534176",
            "telephone_number": "773-543-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 W 19TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233501",
            "telephone_number": "773-484-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRA",
        "first_name": "SOREL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036137621",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036137621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "214881",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.