Individual provider Active NPI

Predrag Z Simovic, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1811074503
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036071752 Issued in IL
Practice address
2845 North Sheridan Road
Ste 801
Chicago, IL 60657-6156
Phone
(773) 665-6851
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 36071752 IL
Internal Medicine Physician 207R00000X 036071752 IL Primary

Addresses

Primary practice location

2845 North Sheridan Road
Ste 801
Chicago, IL 60657-6156

Mailing address

2845 North Sheridan Road
Ste 801
Chicago, IL 60657-6156
Phone (773) 665-6851

Other identifiers 1

IdentifierTypeStateIssuer
36071752MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address psimovic17150@ce-direct.presencehealth.org
Direct Messaging Address psimovic17150@ce-direct.presencehealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100427000431 IL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3476680216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036071752ILMDInternal Medicine Physician
36071752ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
Presence Healthcare Services Current Accepting new patients
Presence Healthcare Services Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
Presence Healthcare Services Internal Medicine Past Accepting new patients

Locations

1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440
Phone (630) 914-2417

2845 N Sheridan Rd
Ste 801
Chicago, IL 60657
Phone (773) 665-6851

331 W Surf St
Ste 801
Chicago, IL 60657

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

2800 N Sheridan Rd
Ste 500
Chicago, IL 60657
Phone (773) 348-0700

62311 Collection Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: psimovic17150@ce-direct.presencehealth.org

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.

Hospital & facility affiliations 6

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1811074503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 NORTH SHERIDAN ROAD",
            "address_2": "STE 801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576156",
            "telephone_number": "773-665-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 NORTH SHERIDAN ROAD",
            "address_2": "STE 801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576156",
            "telephone_number": "773-665-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMOVIC",
        "first_name": "PREDRAG",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "36071752",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036071752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36071752",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psimovic17150@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2800 North Sheridan Road",
            "address_2": "#500",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psimovic17150@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2845 North Sheridan Road",
            "address_2": "Ste 801",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.