Active NPI
Alexander Z Sosenko, M.D.
- Specialist
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036-061417
- Practice address
- 903 129TH Infantry Dr
Suite 400
Joliet, IL 60435-3171 - Phone
- (815) 725-7653
- Fax
- (815) 744-3232
- NPI assigned
- Aug 17, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 036-061417 | IL | Primary |
Addresses
Primary practice location
903 129TH Infantry Dr
Suite 400
Joliet, IL 60435-3171
Mailing address
903 129TH Infantry Dr
Suite 400
Joliet, IL 60435-3171
Phone (815) 725-7653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00416326 | Other | IL | PALMETTO RR MEDICARE |
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
- Pulmonary Disease
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
903 Infantry Dr
Suite 300
Joliet, IL 60435-3170
Phone (815) 725-2653
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
- Saint Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-061417 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Respiratory, LTD. | Current | Accepting new patients | |
| Silver Cross Hospital & Medical Centers | Current | Accepting new patients | |
| Butterfield Health Care II, Inc. | Current | Accepting new patients |
Locations
829 Campus Dr
Joliet, IL 60435
Phone (815) 725-2653
903 N 129th Infantry Dr
Ste 400
Joliet, IL 60435
Phone (815) 725-2653
903 Infantry Dr
Ste 300
Joliet, IL 60435
Phone (815) 725-2653
151 W High St
Morris, IL 60450
Phone (815) 416-1331
678 Cedar Crossings Dr
Ste 201
New Lenox, IL 60451
Phone (815) 740-1301
10660 W 143rd St
Ste B
Orland Park, IL 60462
Phone (312) 349-0055
10660 W 143rd St
Orland Park, IL 60462
Phone (219) 838-0066
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Joliet, IL
- NPI 1407933831
-
- Skilled Nursing Facility
- Naperville, IL
- NPI 1588638795
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1851383780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 129TH INFANTRY DR",
"address_2": "SUITE 400",
"city": "JOLIET",
"state": "IL",
"postal_code": "604353171",
"telephone_number": "815-725-7653",
"fax_number": "815-744-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 129TH INFANTRY DR",
"address_2": "SUITE 400",
"city": "JOLIET",
"state": "IL",
"postal_code": "604353171",
"telephone_number": "815-725-7653",
"fax_number": "815-744-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSENKO",
"first_name": "ALEXANDER",
"middle_name": "Z",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036-061417",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RR MEDICARE",
"identifier": "P00416326",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.