Mt Sinai Pediatric Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MT SINAI PEDIATRIC CENTER

Practice address

2653 W Ogden Ave
Chicago, IL 60608

Phone

(773) 522-2010

NPI assigned

Mar 8, 2019

Last updated

Apr 12, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

COOK COUNTYAs reported in NPPES

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

Authorized official

Name

Scott Andrle

Title

Director of Managed Care Operations

Phone

(312) 864-4649

Specialties & licenses 1

Addresses

Tax ID family

Community Triage Center67 organizations share this tax ID, including this one

Part of

Community Triage Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Community Triage Center

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1922549294
  NPD tax ID
• Cook County

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
  • NPI 1629597125
  NPD tax ID
• Cook County

  • Public Health or Welfare Agency
  • Chicago, IL
  • NPI 1700051448
  NPD tax ID
• Cook County

  dba Cook County Health at Blue Island

  • Family Medicine Physician
  • Blue Island, IL
  • NPI 1700400744
  NPD tax ID
• Cook County

  dba Children's Advocacy Center (FFS)

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1740811736
  NPD tax ID
• Cook County

  dba Logan Square Health Center (FFS)

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1750912648
  NPD tax ID
• Cook County

  dba John H. Stroger, Jr. Hospital BC Outpatient Pharmacy

  • Institutional Pharmacy
  • Chicago, IL
  • NPI 1770892135
  NPD tax ID
• Cook County

  dba Cook County Health at Blue Island

  • Geriatric Medicine (Family Medicine) Physician
  • Blue Island, IL
  • NPI 1780205708
  NPD tax ID
• Cook County

  dba Central Campus Specialty Care Clinic (FFS)

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1790316784
  NPD tax ID
• Cook County

  dba John H. Stroger, Jr. Hospital of Cook County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1821278938
  NPD tax ID
• Cook County

  dba Bronzeville Health Center

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1831219450
  NPD tax ID
• Cook County

  dba Provident Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1831846922
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1780142778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W POLK ST STE 220C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 W OGDEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "773-522-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Fairfield Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081782",
            "country_code": "US",
            "telephone_number": "773-542-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MT SINAI PEDIATRIC CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK COUNTY",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "ANDRLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE OPERATIONS",
        "authorized_official_telephone_number": "312-864-4649"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mstar Services Inc
• Mstoa Staffing (Moorish Science Temple of America)
• MSW DPM Inc (Lincoln Park Podiatry)
• Mt Sinai
• Mt Sinai Hospital
• Mt Sinai Pediatric Center FFS
• Mt. Greenwood Dental Clinic
• Mt. Sinai Hospital
• Mt. Sinai Hospital Medical Center (Sinai Childrens Hospital)
• MTM Services

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.