Individual provider Active NPI

Adam Y Sadik, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1679004956
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22793 Issued in WI
Practice address
2845 N Sheridan Rd Ste 801
Chicago, IL 60657-6159
Phone
(773) 665-6851
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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 036153145 IL
Family Medicine Physician 207Q00000X 22793 WI Primary

Addresses

Primary practice location

2845 N Sheridan Rd Ste 801
Chicago, IL 60657-6159

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 762-7270

Other identifiers 1

IdentifierTypeStateIssuer
100209756MedicaidWI

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address asadik216302@direct.myadvocateaurora.org Direct
Direct Messaging Address asadik146771@ce-direct.presencehealth.org
Direct Messaging Address asadik146771@ce-direct.presencehealth.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20220905000380 WI Practitioner - Family Practice 4880965029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeshore Medical Clinic LLCGroup PAC ID 7719890730, 375 clinicians

Practice addresses (Care Compare)

3611 S Chicago Ave
S Milwaukee, WI 53172-3738
Phone (414) 762-7270

Hospital & facility affiliations

  • St Croix Hospice Waukesha Hospice, Waukesha, WI, CCN 521596
  • Aurora at Home Hospice, Wauwatosa, WI, CCN 521528
  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Medical Clinic, LLC Family Medicine CurrentSince Jul 25, 2022 Accepting new patients

Locations

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

3611 S Chicago Ave
South Milwaukee, WI 53172
Phone (414) 762-2450

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

Organizations & group practices 1

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 4

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1679004956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "414-762-7270",
            "fax_number": "414-762-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN RD STE 801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576159",
            "telephone_number": "773-665-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIK",
        "first_name": "ADAM",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036153145",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "22793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100209756",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asadik216302@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3611 S Chicago Ave",
            "city": "South Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531723738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asadik146771@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2845 N Sheridan Rd Ste 801",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asadik146771@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2800 N Sheridan Rd Ste 606",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3611 S Chicago Ave",
            "city": "South Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531723738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.