SUNNYSIDE HEALTH CENTER
NPI 1659725133
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since April 20, 2016CLIA 14D0913910 · Microscopy
4140 N BROADWAY ST, CHICAGO, IL 60613(773) 878-8098 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sunnyside Health Center NPPES

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

SUNNYSIDE HEALTH CENTER (NPI 1659725133) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since April 2016. The organization holds a CLIA Microscopy certificate valid through February 28, 2027 and lists Triste Smith, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1659725133
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNEAR NORTH HEALTH SERVICE CORPORATION
Location Address4140 N BROADWAY STChicago, IL 60613-2121
Mailing Address1276 N Clybourn AveChicago, IL 60610-2089 · (312) 337-1073
Organization SubpartNo
Authorized OfficialTriste SmithChief Executive Officer · (312) 337-1073
Enumeration DateApril 20, 2016
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1659725133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
4140 N BROADWAY ST, Chicago, IL 60613

Other Names 1

Doing Business AsSunnyside Health Center

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunnyside Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Sunnyside Health Center, which bills Medicare for the services they deliver. Of these, 32 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner16
Pediatric Medicine5
Dentist4
Family Practice4
Internal Medicine3
Ophthalmology3
Obstetrics/Gynecology2
Clinical Social Worker1
6 other specialties6

Nearest to this location (20)

See all 44
Family Practice
NPI 1134483233
1333 W BELMONT AVE STE 200
Chicago, IL 60657
(312) 926-3627
✔ PECOS✔ Accepts Medicare1.4 mi
Dentist
NPI 1790125870
3935 N WESTERN AVE
Chicago, IL 60618
(773) 588-1141
✔ PECOS1.9 mi
Nurse Practitioner
NPI 1639546021
3737 W LAWRENCE AVE
Chicago, IL 60625
(773) 366-7777
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1487499612
1276 N CLYBOURN AVE
Chicago, IL 60610
(312) 337-1073
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1194688697
1276 N CLYBOURN AVE
Chicago, IL 60610
(312) 337-1073
✔ PECOS✔ Accepts Medicare3.7 mi
Clinical Social Worker
NPI 1538058110
1276 N CLYBOURN AVE
Chicago, IL 60610
(312) 337-1073
✔ PECOS3.7 mi
Nurse Practitioner
NPI 1619077559
1276 N CLYBOURN AVE
Chicago, IL 60610
(312) 337-1073
✔ PECOS✔ Accepts Medicare3.7 mi
Pediatric Medicine
NPI 1417478629
1276 N CLYBOURN AVE
Chicago, IL 60610
(312) 337-1073
✔ PECOS3.7 mi
Nurse Practitioner
NPI 1154186906
1276 N CLYBOURN AVE
Chicago, IL 60610
(312) 337-1073
✔ PECOS✔ Accepts Medicare3.7 mi
Dentist
NPI 1366637902
1276 N CLYBOURN AVE
Chicago, IL 60610
(312) 337-1073
✔ PECOS3.7 mi
Podiatry
NPI 1669659751
1276 N CLYBOURN AVE
Chicago, IL 60610
(312) 646-6620
✔ PECOS✔ Accepts Medicare3.7 mi
Pediatric Medicine
NPI 1982606497
1276 N CLYBOURN AVE
Chicago, IL 60610
(312) 337-1073
✔ PECOS3.7 mi
Family Practice
NPI 1205935277
1276 N CLYBOURN AVE
Chicago, IL 60610
(312) 337-1073
✔ PECOS3.7 mi
Obstetrics/Gynecology
NPI 1679801476
1555 W HOWARD ST
Chicago, IL 60626
(773) 265-0300
✔ PECOS✔ Accepts Medicare4.3 mi
Mental Health Counselor
NPI 1982179529
1701 W SUPERIOR ST FL 3
Chicago, IL 60622
(773) 677-6689
✔ PECOS✔ Accepts Medicare4.4 mi
Ophthalmology
NPI 1003308297
225 E CHICAGO AVE # 70
Chicago, IL 60611
(312) 227-6180
✔ PECOS✔ Accepts Medicare4.6 mi
Hospitalist
NPI 1407023799
251 E HURON ST STE 16-738
Chicago, IL 60611
(312) 926-5924
✔ PECOS✔ Accepts Medicare4.7 mi
Internal Medicine
NPI 1215373865
251 E HURON ST #16-738
Chicago, IL 60611
(312) 926-5924
✔ PECOS✔ Accepts Medicare4.7 mi
Ophthalmology
NPI 1114986536
675 N SAINT CLAIR ST GALTER 15-150
Chicago, IL 60611
(312) 695-8150
✔ PECOS✔ Accepts Medicare4.7 mi
Ophthalmology
NPI 1134452857
675 N SAINT CLAIR ST SUITE 15-500
Chicago, IL 60611
(312) 695-8150
✔ PECOS✔ Accepts Medicare4.7 mi
See all 44 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) 14D0913910

Sunnyside Health Center · Chicago, IL
Active · expires Feb 28, 2027
CLIA Number14D0913910
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorStephanie Cox-Baston
Laboratory Phone(773) 878-8098
Laboratory LocationSunnyside Health Center4138-4140 N Broadway Ave - Ste 107, Chicago, IL 60613
CLIA data matches this NPI record on: 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 Near North Health Service Corporation's NPI number?

The NPI number for Near North Health Service Corporation is 1659725133. It was assigned to this organization in the NPPES registry on April 20, 2016. The provider is doing business as Sunnyside Health Center.

Where is Near North Health Service Corporation located?

Near North Health Service Corporation is located at 4140 N Broadway St, Chicago, IL 60613. The listed phone number is (773) 878-8098.

What is Near North Health Service Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Near North Health Service Corporation enrolled in Medicare?

Yes. Near North Health Service Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Near North Health Service Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 14 Medicare specialties reassign their Medicare billing to Near North Health Service Corporation. 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 (16), Pediatric Medicine (5) and Dentist (4). Of these, 32 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Near North Health Service Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0913910) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Near North Health Service Corporation accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Near North Health Service Corporation 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.

When was this NPI record last updated?

The NPPES record for Near North Health Service Corporation was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.