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SMG AT SCI FAMILY MEDICINE
NPI 1417343591
Family Medicine in Chicago, IL

Active since April 15, 2015
2653 W OGDEN AVE, 2ND FLOOR, CHICAGO, IL 60608(773) 257-6840 Get Directions Write a Review

NPPES record last updated: April 15, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Smg At Sci Family Medicine NPPES

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

SMG AT SCI FAMILY MEDICINE (NPI 1417343591) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since April 2015. The organization lists John Vazquez, Cmo, as its authorized official.

NPPES Registry Identity

NPI1417343591
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNT SINAI COMMUNITY FOUNDATION
Location Address2653 W OGDEN AVE, 2ND FLOORChicago, IL 60608-1647
Mailing Address1501 S California Ave, Nr6-119Chicago, IL 60608-1732 · (773) 257-2905 · Fax (773) 257-1788
Phone(773) 257-6840
Organization SubpartYes
Authorized OfficialJohn VazquezCmo · (773) 257-6850
Enumeration DateApril 15, 2015
✔ NPI 1417343591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2653 W OGDEN AVE, Chicago, IL 60608
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Other Names 1

Doing Business AsSmg At Sci Family Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Smg At Sci Family Medicine 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 Smg At Sci Family Medicine, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 415 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
Kendrick Dewdney, LCSW
Clinical Social Worker
NPI 1619555273
2653 W OGDEN AVE STE 200
Chicago, IL 60608
(773) 257-5317
✔ PECOSSame address
Michelle Dormanen, CNM
Certified Nurse Midwife (CNM)
NPI 1255814679
2653 W OGDEN AVE
Chicago, IL 60608
(773) 257-6508
✔ PECOSSame address
Ingrid Lopez, LCSW
Clinical Social Worker
NPI 1285162867
2653 W OGDEN AVE FL 2
Chicago, IL 60608
(773) 257-5336
✔ PECOSSame address
Jarom Matheson, LCSW
Clinical Social Worker
NPI 1710623400
2653 W OGDEN AVE FL 2
Chicago, IL 60608
(773) 257-5300
✔ PECOS✔ Accepts MedicareSame address
My Phon Nguyen, M.D.
Psychiatry
NPI 1700175783
2653 W OGDEN AVE
Chicago, IL 60608
(737) 257-6672
✔ PECOS✔ Accepts MedicareSame address
Osaretin Oronsaye, M.D.
Obstetrics/Gynecology
NPI 1093701575
2653 W OGDEN AVE SUITE 3B
Chicago, IL 60608
(773) 522-6100
✔ PECOS✔ Accepts MedicareSame address
Angelica Ramirez, LCSW, CADC
Clinical Social Worker
NPI 1588356885
2653 W OGDEN AVE FL 2
Chicago, IL 60608
(773) 257-6183
✔ PECOS✔ Accepts MedicareSame address
Leah Semko, APN, PMHNP-BC
Nurse Practitioner
NPI 1811357197
2653 W OGDEN AVE
Chicago, IL 60608
(773) 257-5300
✔ PECOS✔ Accepts MedicareSame address
Serena Ghazali, APN-CNP
Nurse Practitioner
NPI 1790476083
2652 W OGDEN AVE
Chicago, IL 60608
(773) 542-2000
✔ PECOS✔ Accepts MedicareSame address
Mayra Diaz
Clinical Social Worker
NPI 1992320485
2653 W OGDEN AVE FL 2
Chicago, IL 60608
(773) 257-6672
✔ PECOS✔ Accepts MedicareSame address
Anngell Jones, MD
General Surgery
NPI 1003876939
2653 W OGDEN AVE FL 3
Chicago, IL 60608
(773) 257-6701
✔ PECOS✔ Accepts MedicareSame address
Eli Bader, DO
Psychiatry
NPI 1053738187
2653 W OGDEN AVE
Chicago, IL 60608
(773) 257-5840
✔ PECOS✔ Accepts MedicareSame address
Puneet Grewal, M.D.
Cardiovascular Disease (Cardiology)
NPI 1003048745
2653 W OGDEN AVE FL 3
Chicago, IL 60608
(773) 257-6840
✔ PECOS✔ Accepts MedicareSame address
Elda Mullaj, MD
Hospitalist
NPI 1821581992
2653 W OGDEN AVE FL 3
Chicago, IL 60608
(773) 257-6840
✔ PECOS✔ Accepts MedicareSame address
Rosario Sandoval
Nurse Practitioner
NPI 1629662929
2653 W OGDEN AVE FL 2
Chicago, IL 60608
(773) 257-6672
✔ PECOS✔ Accepts MedicareSame address
Mihaela Stancu, MD
Cardiac Electrophysiology
NPI 1689877136
2653 W OGDEN AVE FL 3
Chicago, IL 60608
(773) 257-6840
✔ PECOS✔ Accepts MedicareSame address
Keshonna Thomas, LCPC
Mental Health Counselor
NPI 1760956585
2653 W OGDEN AVE
Chicago, IL 60608
(773) 257-6672
✔ PECOSSame address
Destini Valle
Clinical Social Worker
NPI 1831020700
2653 W OGDEN AVE
Chicago, IL 60608
(773) 257-6155
✔ PECOSSame address
Zitong Zheng
Mental Health Counselor
NPI 1639097272
2653 W OGDEN AVE FL 2
Chicago, IL 60608
(773) 257-6672
✔ PECOSSame address
Serafin Chua, M.D.
Rheumatology
NPI 1407872351
2653 W OGDEN AVE 3RD FLOOR
Chicago, IL 60608
(773) 257-6730
✔ PECOS✔ Accepts Medicare0.1 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.

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 1417343591. It was assigned to this organization in the NPPES registry on April 15, 2015. The provider is doing business as Smg At Sci Family Medicine.

Where is Mount Sinai Community Foundation located?

Mount Sinai Community Foundation is located at 2653 W Ogden Ave 2nd Floor, Chicago, IL 60608. The listed phone number is (773) 257-6840.

What is Mount Sinai Community Foundation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 19 practice at this address and 415 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mount Sinai Community Foundation was last updated on April 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.