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SINAI MEDICAL GROUP
NPI 1225125677
Internal Medicine in Chicago, IL

Active since October 06, 2006CLIA 14D0960997 · Microscopy
1108 S KEDZIE AVE, CHICAGO, IL 60612(773) 722-2712 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About Sinai Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SINAI MEDICAL GROUP (NPI 1225125677) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through July 8, 2028 and lists John E Vazquez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225125677
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOUNT SINAI COMMUNITY FOUNDATION
Location Address1108 S KEDZIE AVEChicago, IL 60612-3935
Mailing Address3537 Paysphere CirChicago, IL 60674-0035 · (708) 786-2900
Phone(773) 722-2712
Organization SubpartNo
Authorized OfficialJohn E VazquezCeo · (773) 257-6850
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1225125677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1108 S KEDZIE AVE, Chicago, IL 60612
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Other Names 1

Doing Business AsSinai Medical Group

Other Identifiers 1

Other5783350002IL · Dme Number

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sinai Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20040202001032Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

644

Medicare enrollment records show 644 clinicians reassign Medicare billing to Sinai Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 413 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 51

Nurse Practitioner81
Internal Medicine59
Obstetrics/Gynecology43
Diagnostic Radiology42
Psychiatry31
General Surgery29
Family Practice25
Clinical Social Worker20
43 other specialties314

Nearest to this location (20)

See all 644
Richard Trester, MD
Obstetrics/Gynecology
NPI 1669554531
1108 S KEDZIE AVE
Chicago, IL 60612
(773) 722-2712
✔ PECOS✔ Accepts MedicareSame address
Betsy Gertz, PHD
Clinical Psychologist
NPI 1598813875
1401 S CALIFORNIA AVE
Chicago, IL 60608
(773) 522-2010
✔ PECOS✔ Accepts Medicare0.6 mi
Phari Krishna, M.D
Neurosurgery
NPI 1750448072
1401 S CALIFORNIA AVE
Chicago, IL 60608
(773) 565-3200
✔ PECOS✔ Accepts Medicare0.6 mi
Benjamin Levy, M.D.
Gastroenterology
NPI 1922245737
1401 S CALIFORNIA AVE SCHWAB ADULT MEDICINE
Chicago, IL 60608
(773) 522-6485
✔ PECOS✔ Accepts Medicare0.6 mi
Gina Walton, MD
Physical Medicine and Rehabilitation
NPI 1063571420
1401 S CALIFORNIA AVE
Chicago, IL 60608
(773) 565-3251
✔ PECOS0.6 mi
Camille Wachholz
Registered Dietitian or Nutrition Professional
NPI 1871103341
1401 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-4324
✔ Accepts Medicare0.6 mi
Claudia Pilati
Nurse Practitioner
NPI 1144869413
1414 S FAIRFIELD AVE
Chicago, IL 60608
(773) 565-3230
✔ PECOS✔ Accepts Medicare0.7 mi
Ayesha Ahmed, M.D.
Anesthesiology
NPI 1104825108
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-6850
✔ PECOS✔ Accepts Medicare0.7 mi
Syed Anadil Anvery, M.D.
Emergency Medicine
NPI 1487940789
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 542-2000
✔ PECOS✔ Accepts Medicare0.7 mi
Abdullah Bin Mahfodh, M.D.
Psychiatry
NPI 1033640198
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 542-2000
✔ PECOS✔ Accepts Medicare0.7 mi
Mark Domaas, DPM
Podiatry
NPI 1265845010
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 542-2000
✔ PECOS✔ Accepts Medicare0.7 mi
Harsha Gondi, MD
Internal Medicine
NPI 1033453519
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-6552
✔ PECOS✔ Accepts Medicare0.7 mi
Alan Hecht, M.D.
Diagnostic Radiology
NPI 1689674335
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-6498
✔ PECOS✔ Accepts Medicare0.7 mi
Paramjeet Khosla, M.D.
Hematology/Oncology
NPI 1376527523
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-6552
✔ PECOS✔ Accepts Medicare0.7 mi
Margot Knight, DO
General Surgery
NPI 1477135259
1500 S. CALIFORNIA AVENUE ROOM F930
Chicago, IL 60608
(312) 257-6496
✔ PECOS✔ Accepts Medicare0.7 mi
Anish Munagala, MD
Hospitalist
NPI 1386135424
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 542-2000
✔ PECOS✔ Accepts Medicare0.7 mi
Nishitkumar Patel, M.D.
Orthopedic Surgery
NPI 1154362754
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-4756
✔ PECOS✔ Accepts Medicare0.7 mi
Lisa Russell, M.D
Infectious Disease
NPI 1265420210
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-6468
✔ PECOS✔ Accepts Medicare0.7 mi
Nancy Sibigtroth, M.D.
Radiation Oncology
NPI 1013917764
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-6498
✔ PECOS✔ Accepts Medicare0.7 mi
Shan Chin Ying, M.D.
Pathology
NPI 1053310714
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-5499
✔ PECOS✔ Accepts Medicare0.7 mi
See all 644 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0960997

Sinai Medical Group/Lawndale Plaza Med · Chicago, IL
Active · expires Jul 8, 2028
CLIA Number14D0960997
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorIhab Aziz MD
Laboratory Phone(773) 722-2712
Laboratory LocationSinai Medical Group/Lawndale Plaza Med1108 S Kedzie, Chicago, IL 60612
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mount Sinai Community Foundation's NPI number?

The NPI number for Mount Sinai Community Foundation is 1225125677. It was assigned to this organization in the NPPES registry on October 6, 2006. The provider is doing business as Sinai Medical Group.

Where is Mount Sinai Community Foundation located?

Mount Sinai Community Foundation is located at 1108 S Kedzie Ave, Chicago, IL 60612. The listed phone number is (773) 722-2712.

What is Mount Sinai Community Foundation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mount Sinai Community Foundation enrolled in Medicare?

Yes. Mount Sinai Community Foundation is registered in the Medicare PECOS enrollment system.

When is Mount Sinai Community Foundation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mount Sinai Community Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 644 clinicians in 51 Medicare specialties reassign their Medicare billing to Mount Sinai Community Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (81), Internal Medicine (59) and Obstetrics/Gynecology (43). Of these, 1 practice at this address and 413 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mount Sinai Community Foundation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0960997) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mount Sinai Community Foundation was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.