Active NPI
Andrei Sharapov, M.D.
- Anesthesiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036108572
- Practice address
- St. Mary of Nazareth Hospital / Anesthesia Dept.
2233 W. Division Street
Chicago, IL 60622 - Phone
- (312) 770-2000
- NPI assigned
- Jun 9, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036108572 | IL | Primary |
Addresses
Primary practice location
St. Mary of Nazareth Hospital / Anesthesia Dept.
2233 W. Division Street
Chicago, IL 60622
Mailing address
520 E 22ND St
Lombard, IL 60148-6110
Phone (630) 874-2542
Other practice location 1
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036108572 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Current | Accepting new patients |
| Blessing Hospital | Anesthesiology | Current | Accepting new patients |
| CGH Medical Center | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222
1005 Broadway St
Quincy, IL 62301
100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Quincy, IL
- NPI 1255515342
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
- Family Medicine Physician
- Mattoon, IL
- NPI 1568581379
Anesthesiology
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1851332902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E 22ND ST",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486110",
"telephone_number": "630-874-2542",
"fax_number": "630-874-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPT.",
"address_2": "2233 W. DIVISION STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60622",
"telephone_number": "312-770-2000"
}
],
"practiceLocations": [
{
"address_1": "1005 Broadway St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623012834",
"country_code": "US",
"telephone_number": "217-223-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARAPOV",
"first_name": "ANDREI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2023-11-27",
"certification_date": "2020-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036108572",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"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 Nov 27, 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.
- 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.