Individual provider Active NPI

Virginia M Schmidt, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1881894541
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036116600 Issued in IL
Practice address
2355 S Western Ave
Chicago, IL 60608-3837
Phone
(773) 254-1400
Fax
(312) 829-6375
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036116600 IL Primary

Addresses

Primary practice location

2355 S Western Ave
Chicago, IL 60608-3837

Mailing address

966 W 21St St
Chicago, IL 60608-4511
Phone (773) 254-1400

Other practice location 1

10536 S Ewing Ave
Chicago, IL 60617-6219
Phone (773) 768-5000

Other practice location 2

966 W 21st St
Chicago, IL 60608-4511
Phone (773) 254-1400

Other practice location 3

2424 W Peterson Ave
Chicago, IL 60659-4100
Phone (773) 761-0300

Other identifiers 1

IdentifierTypeStateIssuer
036116600MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000512 IL Practitioner - Family Practice 2860678638 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
Medicare assignment
May accept Medicare assignment
Group practices
Heartland Alliance HealthGroup PAC ID 5890696686, shared by 2 NPIs, 14 clinicians
Friend Family Health Center IncGroup PAC ID 2062494552, shared by 5 NPIs, 36 clinicians

Practice addresses (Care Compare)

4009 N Broadway St
Chicago, IL 60613-2110
Phone (773) 275-2586

5843 S Western Ave
Chicago, IL 60636-1526
Phone (773) 434-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036116600ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Apr 2, 2014 Accepting new patients
Access Community Health Network Current Accepting new patients
Esperanza Health Centers CurrentSince Nov 4, 2024 Accepting new patients
Esperanza Health Centers Current Accepting new patients
Access Community Health Network CurrentSince May 19, 2014 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Apr 2, 2014 Accepting new patients
Access Community Health Network CurrentSince May 19, 2014 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

4700 S California Ave
Chicago, IL 60632
Phone (708) 713-0078

4720 S California Ave
Chicago, IL 60632
Phone (312) 942-2877

2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785

2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201

29373 Network Pl
Chicago, IL 60673

Interoperability endpoints

  • Direct secure messaging: vschmidt281509@uchospital.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1881894541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 W 21ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084511",
            "telephone_number": "773-254-1400",
            "fax_number": "312-829-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083837",
            "telephone_number": "773-254-1400",
            "fax_number": "312-829-6375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10536 S EWING AVE",
            "address_purpose": "LOCATION",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176219",
            "country_code": "US",
            "telephone_number": "773-768-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "966 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606084511",
            "country_code": "US",
            "telephone_number": "773-254-1400",
            "fax_number": "312-829-6375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2424 W Peterson Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606594100",
            "country_code": "US",
            "telephone_number": "773-761-0300",
            "fax_number": "773-761-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "VIRGINIA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036116600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116600",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.