Individual provider Active NPI

John Christian Sorensen Jr., DPM

  • Podiatrist
  • Northbrook, IL
National Provider Identifier
1649267311
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P1352 Issued in TX
Practice address
425 Huehl Rd
Northbrook, IL 60062-2319
Phone
(847) 504-5000
NPI assigned
Sep 28, 2005
Last updated
Jan 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
F000357E7MedicaidTX
081896501MedicaidTX
121550108MedicaidTX
P01571984OtherTXRAILROAD MEDICARE
8104M6OtherTXBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100721000400 TX Practitioner - Podiatry 8729110135 Reassigns benefits to 1 organization

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
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

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 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of nail tissue2821
Removal or shaving of skin growth760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1352TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC Podiatrist CurrentSince Nov 23, 2015 Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients
Gateway Community Health Center, Inc. Cshcn Past Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients
Gateway Community Health Center, Inc Past Accepting new patients
Gateway Community Health Center, Inc Past Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients
Gateway Community Health Center, Inc Past Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients
Gateway Community Health Center, Inc Past Accepting new patients
Gateway Community Health Center, Inc. Quad City Past Accepting new patients
Home Foot Care, LLP Past Accepting new patients
Lepow Podiatric Medical Associates Podiatrist Past Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients
Gateway Community Health Center Inc Past Accepting new patients
Lepow Podiatric Medical Associates Podiatrist Past Accepting new patients
Gateway Community Health Center Past Accepting new patients
Gateway Community Health Center, Inc Past Accepting new patients
Gateway Community Health Center Inc Past Accepting new patients
Gateway Community Health Center, Inc Past Accepting new patients
Gateway Community Health Center, Inc Past Accepting new patients
Gateway Community Health Center, Inc South Clinic Past Accepting new patients

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.

View all 27

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

Verify at the official NPI Registry.