PHILIP H SHERIDAN JR. MD NPI 1487606109

Internal Medicine (Pulmonary Disease) in Evanston, IL

NPI 1487606109 Individual Male Years of Experience 35 Internal Medicine Pulmonary Disease PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About PHILIP SHERIDAN

Philip Sheridan is an internal medicine provider established in Evanston, Illinois and his medical specialization is internal medicine (pulmonary disease) with more than 35 years of experience. He graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1987. The NPI number of Philip Sheridan is 1487606109 and was assigned on May 2006. The practitioner's primary taxonomy code is 207RP1001X with license number 036079226 (IL). The provider is registered as an individual and his NPI record was last updated 13 years ago.

An internist like Philip H Sheridan Jr. Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Philip Sheridan is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Philip Sheridan is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Northshore University Healthsystem - Evanston Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: chronic care and preventative care management for empaneled patients, colorectal cancer screening, documentation of current medications in the medical record, e-prescribing exclusion, health information exchange exclusion, immunization registry reporting, implementation of medication management practice improvements, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, secure messaging, security risk analysis, use of decision support and standardized treatment protocols and view, download, or transmit (vdt). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1487606109

Provider Name PHILIP H SHERIDAN JR. MD
Provider Location Address2650 RIDGE AVE EVANSTON, IL 60201
Provider Mailing AddressPO BOX 616 FOREST PARK, IL 60130
GenderMale
NPI Entity TypeIndividual
Medical School NameLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year1987
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-17-2006
Last Update Date08-29-2008


Primary Taxonomy

Taxonomy Code207RP1001X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationPulmonary Disease
License No.036079226
License StateIL
Taxonomy DescriptionAn internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Business Address

PHILIP H SHERIDAN JR. MD
2650 RIDGE AVE
EVANSTON, IL
ZIP 60201
Phone: (847) 675-1960
Fax: (847) 446-1893

Get Directions


Mailing Address

PHILIP H SHERIDAN JR. MD
PO BOX 616
FOREST PARK, IL
ZIP 60130
Phone: (708) 366-7177
Fax: (708) 366-3301



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8426092842
PECOS Enrollment IDI20050902000304
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 85Measurement of lung diffusing capacity (HCPCS:94729)
  • 78Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • 76Determination of lung volumes using plethysmography (HCPCS:94726)
  • 26Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Colorectal Cancer Screening 6% 182
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Documentation of Current Medications in the Medical Record 50% 899
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Medication Reconciliation 58% 125
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 2% 492
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 13% 446
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 26% 206
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 26% 206
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 21% 492
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 3% 492
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
View, Download, or Transmit (VDT) 14% 492
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Philip Sheridan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL2650 RIDGE AVE
EVANSTON, IL 60201
(847) 432-8000Acute Care Hospitals140010

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine036079226ILNo

Taxonomy Description: an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
E94399MEDICARE UPIN (02)IL
036079226MEDICAID (05)IL
216062OTHER (01)IL
01637916OTHER (01)IL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669476545 STEVEN C SMART MD
Individual
Internal Medicine (Cardiovascular Disease)2650 RIDGE AVE
EVANSTON, IL 60201
(847) 570-2000
1437150471 ANDREA PARKS PA-C
Individual
Physician Assistant (Surgical)2650 RIDGE AVE DIVISION OF NEUROSURGERY
EVANSTON, IL 60201
(847) 570-1440
1083602551 EGON MR DOPPENBERG MD
Individual
Neurological Surgery2650 RIDGE AVE
EVANSTON, IL 60201
(847) 570-1425
1952386427MRS. GWEN GASSMAN FRALEY M.S., C.G.C.
Individual
Genetic Counselor, MS2650 RIDGE AVE FETAL DIAGNOSTICS
EVANSTON, IL 60201
(847) 570-2864
1699750174MS. ELIZABETH A. LEETH M.S.
Individual
Genetic Counselor, MS2650 RIDGE AVE FETAL DIAGNOSTICS, RM 1400
EVANSTON, IL 60201
(847) 570-1380
1912985888 ARSHDEEP SINGH JAWANDHA M.B.,B.S.
Individual
Psychiatry & Neurology (Psychiatry)2650 RIDGE AVE C/O LINDA GARFIELD DEP OF PSYCHIATRY 5TH FL LOIUS BLDG
EVANSTON, IL 60201
(847) 570-2683
1497714869 DORIS LAI MING YIP M.D.
Individual
Radiology (Neuroradiology)2650 RIDGE AVE DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201
(847) 570-2475
1700833522MS. ANNE P. SEBASTIAN PA
Individual
Physician Assistant2650 RIDGE AVE BURCH 106
EVANSTON, IL 60201
(847) 570-1328
1619924313 VANDANA SUSMI KULKARNI M.D.
Individual
Anesthesiology2650 RIDGE AVE EVANSTON HOSPITAL RM 1210
EVANSTON, IL 60201
(847) 570-1206
1811944184 TED E FELDMAN M.D.
Individual
Internal Medicine (Cardiovascular Disease)2650 RIDGE AVE EVANSTON HOSPITAL RM 1210
EVANSTON, IL 60201
(847) 570-1206
1043267461 MARK DIETERICH M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2650 RIDGE AVE EVANSTON HOSPITAL RM 1210
EVANSTON, IL 60201
(847) 570-1206
1205883485 MOHAMED ELDIBANY MB, BCH
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2650 RIDGE AVE EVANSTON HOSPITAL RM 1210
EVANSTON, IL 60201
(847) 570-1206
1295772119 PATRICK J GAVIN M.D.
Individual
Pathology (Clinical Pathology/Laboratory Medicine)2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON, IL 60201
(847) 570-1206
1194762013 MALCOLM V VYE M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON, IL 60201
(847) 570-2040
1922055144 MICHELANGELO A MILANO M.D.
Individual
Pathology (Anatomic Pathology)2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON, IL 60201
(847) 570-1206
1780621524DR. MEHUL PEMA DO
Individual
Internal Medicine2650 RIDGE AVE DEPT OF MEDICINE, ATTN: NANCY KAWADA
EVANSTON, IL 60201
(847) 570-2502
1376580704 KRISTI K KILLELEA PHARM.D.
Individual
Pharmacist (Pharmacotherapy)2650 RIDGE AVE INPATIENT PHARMACY
EVANSTON, IL 60201
(847) 570-4113
1962441584 VATHSALA T RAGHAVAN M.D.
Individual
Specialist2650 RIDGE AVE
EVANSTON, IL 60201
(847) 570-2590
1033158639 WILLIAM DAVID BLOOMER M.D.
Individual
Specialist2650 RIDGE AVE
EVANSTON, IL 60201
(847) 570-2590
1184664161DR. HELEN C. LIN MD
Individual
Psychiatry & Neurology (Neurology)2650 RIDGE AVE NEUROLOGY BURCH 309
EVANSTON, IL 60201
(847) 570-2570

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.