MOUNT SINAI COMMUNITY FOUNDATION
NPI 1548640212
Urology in Chicago, IL

Active since June 08, 2015
6084 S ARCHER AVE, STE 202, CHICAGO, IL 60638(773) 581-5888(773) 581-5895 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mount Sinai Community Foundation NPPES

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

MOUNT SINAI COMMUNITY FOUNDATION (NPI 1548640212) is a healthcare organization registered as an urology in Chicago, Illinois and active in the NPI registry since June 2015. The organization lists Deborah Caputo, Manager, as its authorized official.

NPPES Registry Identity

NPI1548640212
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameMOUNT SINAI COMMUNITY FOUNDATION
Location Address6084 S ARCHER AVE, STE 202Chicago, IL 60638-2747
Mailing Address6084 S Archer Ave, Ste 202Chicago, IL 60638-2747 · (773) 581-5888 · Fax (773) 581-5895
Fax(773) 581-5895
Organization SubpartYesParent: Archer Pob Urology
Authorized OfficialDeborah CaputoManager · (773) 257-2905
Enumeration DateJune 8, 2015
✔ NPI 1548640212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
6084 S ARCHER AVE, Chicago, IL 60638

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)

Mount Sinai Community Foundation 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 Mount Sinai Community Foundation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 398 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
Internal Medicine
NPI 1699852939
6084 S ARCHER AVE
Chicago, IL 60638
(773) 884-4152
✔ PECOSSame address
Nurse Practitioner
NPI 1649980905
3522 S 58TH CT
Cicero, IL 60804
(708) 822-0666
✔ PECOS2.3 mi
Gastroenterology
NPI 1255405452
6832 OGDEN AVE
Berwyn, IL 60402
(708) 795-0890
✔ PECOS✔ Accepts Medicare2.5 mi
Infectious Disease
NPI 1720181043
3231 EUCLID AVE
Berwyn, IL 60402
(630) 325-2655
✔ PECOS✔ Accepts Medicare2.8 mi
Obstetrics/Gynecology
NPI 1578515839
3249 S OAK PARK AVE MACNEAL HOSPITAL
Berwyn, IL 60402
(708) 783-3004
✔ PECOS✔ Accepts Medicare2.9 mi
Obstetrics/Gynecology
NPI 1356441844
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-3305
✔ PECOS✔ Accepts Medicare2.9 mi
Obstetrics/Gynecology
NPI 1528084779
3229 W 47TH PL
Chicago, IL 60632
(773) 254-6044
✔ PECOS3.4 mi
Clinical Social Worker
NPI 1184841009
5341 W CERMAK RD
Cicero, IL 60804
(708) 656-6430
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1245758580
2701 W 68TH ST
Chicago, IL 60629
(773) 884-9000
✔ PECOS✔ Accepts Medicare4.4 mi
Psychiatry
NPI 1720690928
2701 W 68TH ST
Chicago, IL 60629
(773) 884-7640
✔ PECOS✔ Accepts Medicare4.4 mi
Mental Health Counselor
NPI 1730985011
2701 W 68TH ST
Chicago, IL 60629
(773) 565-2574
✔ PECOS✔ Accepts Medicare4.4 mi
Diagnostic Radiology
NPI 1164496097
2701 W 68TH ST
Chicago, IL 60629
(773) 884-4761
✔ PECOS✔ Accepts Medicare4.4 mi
Internal Medicine
NPI 1033146840
2701 W 68TH ST
Chicago, IL 60629
(773) 884-7920
✔ PECOS✔ Accepts Medicare4.4 mi
Cardiovascular Disease (Cardiology)
NPI 1265444590
2701 W 68TH ST
Chicago, IL 60629
(773) 471-5547
✔ PECOS4.4 mi
Emergency Medicine
NPI 1023303138
2701 W 68TH ST
Chicago, IL 60629
(773) 884-9000
✔ PECOS✔ Accepts Medicare4.4 mi
Registered Dietitian or Nutrition Professional
NPI 1124975941
2701 W 68TH ST
Chicago, IL 60629
(773) 884-9000
4.4 mi
Cardiovascular Disease (Cardiology)
NPI 1710997259
2701 W 68TH ST FL 2
Chicago, IL 60629
(773) 884-7920
✔ PECOS✔ Accepts Medicare4.4 mi
Clinical Social Worker
NPI 1053262626
2701 W 68TH ST
Chicago, IL 60629
(773) 565-2550
✔ PECOS✔ Accepts Medicare4.4 mi
Endocrinology
NPI 1396291183
2701 W 68TH ST
Chicago, IL 60629
(708) 884-7350
✔ PECOS✔ Accepts Medicare4.4 mi
Psychiatry
NPI 1326593377
3303 W 26TH ST
Chicago, IL 60623
(773) 277-6589
✔ PECOS✔ Accepts Medicare4.7 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.

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 1548640212. It was assigned to this organization in the NPPES registry on June 8, 2015.

Where is Mount Sinai Community Foundation located?

Mount Sinai Community Foundation is located at 6084 S Archer Ave Ste 202, Chicago, IL 60638. The listed phone number is (773) 581-5888.

What is Mount Sinai Community Foundation's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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 398 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 June 8, 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.