NPIMap

Individual provider Active NPI

Kijana Seferovic, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1821038274
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036113528 Issued in IL
Practice address
5106 N Lincoln Ave
Chicago, IL 60625-3113
Phone
(773) 907-8255
Fax
(773) 907-8296
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036113528 IL Primary

Addresses

Primary practice location

5106 N Lincoln Ave
Chicago, IL 60625-3113

Mailing address

5106 N Lincoln Ave
Chicago, IL 60625-3113
Phone (773) 907-8255

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kseferovic255057@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051004000400 IL Practitioner - Internal Medicine 1557396041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5106 N Lincoln Ave
Chicago, IL 60625-3113
Phone (773) 858-6535

Hospital & facility affiliations

  • Advanta Home Health Care, Inc Home health agency, Northfield, IL, CCN 147887
  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Medical Center, PC Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kseferovic255057@direct.myadvocateaurora.org

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 7

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1821038274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253113",
            "telephone_number": "773-907-8255",
            "fax_number": "773-907-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253113",
            "telephone_number": "773-907-8255",
            "fax_number": "773-907-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEFEROVIC",
        "first_name": "KIJANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036113528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kseferovic255057@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5106 N Lincoln Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253113",
            "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": "5106 N Lincoln Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.