Individual provider Active NPI

Nancy W Sassower, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1851384366
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036093586 Issued in IL
Practice address
455 N Cityfront Plaza Drive
Suite 2505
Chicago, IL 60611
Phone
(312) 586-7560
Fax
(312) 586-7563
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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 036093586 IL Primary

Addresses

Primary practice location

455 N Cityfront Plaza Drive
Suite 2505
Chicago, IL 60611

Mailing address

455 N Cityfront Plaza Dr Ste 2505
Chicago, IL 60611-4588
Phone (312) 586-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 14, 2018 through Dec 14, 2026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Lake Shore Medical Associates,LTD Internal Medicine Current Accepting new patients

Locations

676 N Saint Clair St
Ste 300
Chicago, IL 60611
Phone (312) 787-2773

676 N Saint Clair St
Ste 370
Chicago, IL 60611
Phone (312) 787-6662

Interoperability endpoints

  • Direct secure messaging: nancy.sassower.1@28513.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1851384366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N CITYFRONT PLAZA DR STE 2505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114588",
            "telephone_number": "312-586-7560",
            "fax_number": "312-586-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N CITYFRONT PLAZA DRIVE",
            "address_2": "SUITE 2505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-586-7560",
            "fax_number": "312-586-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSOWER",
        "first_name": "NANCY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036093586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.