Active NPI
John Christian Sorensen Jr., DPM
- Podiatrist
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- P1352
- Practice address
- 425 Huehl Rd
Northbrook, IL 60062-2319 - Phone
- (847) 504-5000
- NPI assigned
- Sep 28, 2005
- Last updated
- Jan 25, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P1352 | TX | Primary |
Addresses
Primary practice location
425 Huehl Rd
Northbrook, IL 60062-2319
Mailing address
18602 Rogers PL
San Antonio, TX 78258-4643
Phone (210) 764-1786
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F000357E7 | Medicaid | TX | |
| 081896501 | Medicaid | TX | |
| 121550108 | Medicaid | TX | |
| P01571984 | Other | TX | RAILROAD MEDICARE |
| 8104M6 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 W Hwy 290
Dripping Springs, TX 78620-3402
Phone (512) 858-5624
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.82 of 100
- Quality
- 72.99
- Improvement activities
- 40
- Cost
- 75.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 34 |
| Removal of nail tissue | 2821 |
| Removal or shaving of skin growth | 760 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1352 | TX | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
Locations
1505 W Highway 290
Dripping Springs, TX 78620
Phone (512) 858-2818
2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800
Organizations & group practices 27
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1649267311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18602 ROGERS PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584643",
"telephone_number": "210-764-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 HUEHL RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622319",
"telephone_number": "847-504-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "JOHN",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-28",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "P1352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F000357E7",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081896501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121550108",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01571984",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8104M6",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.