Active NPI
Carlos R Sian, MPH, PA-C
- Physician Assistant
- Chicago, IL
National Provider Identifier
1760143150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085010176
- Practice address
- Iws Family Health Center
3600 West Fullerton Avenue
Chicago, IL 60647 - Phone
- (773) 782-2800
- NPI assigned
- Jan 6, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085010176 | IL | Primary |
Addresses
Primary practice location
Iws Family Health Center
3600 West Fullerton Avenue
Chicago, IL 60647
Mailing address
Iws Family Health Center
3600 West Fullerton Avenue
Chicago, IL 60647
Phone (773) 782-2800
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240724003734 | IL | Practitioner - Physician Assistant | 6608312749 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Northwestern University Feinberg Medical School, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 W Fullerton Ave
Chicago, IL 60647-2319
Phone (773) 782-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infant Welfare Society of Chicago | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1497872543
IL
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1376153437
IL
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1447071253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1760143150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "IWS FAMILY HEALTH CENTER",
"address_2": "3600 WEST FULLERTON AVENUE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60647",
"telephone_number": "773-782-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "IWS FAMILY HEALTH CENTER",
"address_2": "3600 WEST FULLERTON AVENUE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60647",
"telephone_number": "773-782-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIAN",
"first_name": "CARLOS",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MPH, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-06",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085010176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.