Active NPI
Samuel Moshe Singer
- Pediatrics Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036156177
- Practice address
- 2934 W Sherwin Ave
Chicago, IL 60645-1210 - Phone
- (240) 354-6795
- Fax
- (216) 249-9038
- NPI assigned
- Mar 26, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036156177 | IL | Primary |
| Pediatrics Physician | 208000000X | 125074917 | IL |
Addresses
Primary practice location
2934 W Sherwin Ave
Chicago, IL 60645-1210
Mailing address
2934 W Sherwin Ave
Chicago, IL 60645-1210
Phone (240) 354-6795
Other practice location 1
1675 Dempster St
Park Ridge, IL 60068-1110
Phone (855) 312-5437
Other practice location 2
2650 Ridge Ave.
Pediatric Hospitalists
Evanston, IL 60201-1057
Phone (847) 570-1027
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssinger229062@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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125074917 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Call Medical Services LLC | Pediatrics | Current | Accepting new patients |
| Pediatricare | Pediatrics | Current | Accepting new patients |
| Endeavor Health Medical Group | Pediatrics | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
Interoperability endpoints
- ssinger229062@direct.myadvocateaurora.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.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1184323271
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1841751666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2934 W SHERWIN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606451210",
"telephone_number": "240-354-6795",
"fax_number": "216-249-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2934 W SHERWIN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606451210",
"telephone_number": "240-354-6795",
"fax_number": "216-249-9038"
}
],
"practiceLocations": [
{
"address_1": "1675 Dempster St",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "600681110",
"country_code": "US",
"telephone_number": "855-312-5437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2650 Ridge Ave.",
"address_2": "Pediatric Hospitalists",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602011057",
"country_code": "US",
"telephone_number": "847-570-1027",
"fax_number": "847-733-5108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINGER",
"first_name": "SAMUEL",
"middle_name": "MOSHE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-26",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036156177",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125074917",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssinger229062@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1675 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681110",
"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": "1675 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681110",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.