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SOREL LIRA M.D
NPI 1639445331
Family Medicine in Chicago, IL

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment
2875 W 19TH ST, CHICAGO, IL 60623(773) 484-1000 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sorel Lira M.d NPPES

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

SOREL LIRA M.D (NPI 1639445331) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036137621) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Saint Anthony Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1639445331
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSOREL LIRACredential: M.D
Location Address2875 W 19TH STChicago, IL 60623-3501
Mailing Address4318 S Forrestville AveChicago, IL 60653-4176 · (773) 543-3979
Phone(773) 484-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 27, 2012
Last NPPES UpdateOctober 15, 2019
✔ NPI 1639445331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036137621
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.
Also ListedHospitalistTaxonomy 208M00000X · License 036137621 (IL)
2875 W 19TH ST, Chicago, IL 60623
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Other Identifiers 1

Other214881IL · Medicare Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sorel Lira M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133429343
PECOS Enrollment IDI20151119001684
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
482 services206 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
239 services227 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
154 services92 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
117 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services39 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
37 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anthony Hospital

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140095
Location2875 West 19th StreetChicago, IL 60623 · Cook County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers25 claims25 services$21.16 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers24 claims24 services$914.80 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers32 claims32 services$7.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers35 claims35 services$112.78 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$31.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATHOLOGY SERVICES ILLINOIS, LTD
Pathology (Anatomic Pathology & Clinical Pathology)
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-1000
DR. ZAHID ALEEM HASAN MD
Pediatrics
2875 W 19TH ST, 3RD FLOOR, PEDIATRICS
CHICAGO, IL 60623
Cook County (773) 484-4065
SRIPATHY RAO
Pediatrics
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (312) 332-6626
CHRISTINE LEUNG OTR/L
Occupational Therapist
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-1854
GIOVANNA ELENA SAVASTANO OTR/L
Occupational Therapist
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-1000
EUGENIO SALAZAR MD
Obstetrics & Gynecology
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-1000
KRISTINE NOEL WEIDNER M.D.
Emergency Medicine
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-4831
RITA C TALLUD MD
General Practice
2875 W 19TH ST
CHICAGO, IL 60623
Cook County (773) 484-1000

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 Sorel Lira's NPI number?

The NPI number for Sorel Lira is 1639445331. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Sorel Lira located?

Sorel Lira practices at 2875 W 19th St, Chicago, IL 60623. The listed phone number is (773) 484-1000.

What is Sorel Lira's specialty?

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

Is Sorel Lira enrolled in Medicare?

Yes. Sorel Lira is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sorel Lira accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sorel Lira as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sorel Lira affiliated with any hospitals?

According to CMS data, Sorel Lira is affiliated with Saint Anthony Hospital and Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Sorel Lira was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.