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SINAI MEDICAL GROUP
NPI 1700082971
Psychiatric Hospital in Chicago, IL

Active since June 25, 2007
2653 W OGDEN AVE, CHICAGO, IL 60608(773) 257-6672 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Sinai Medical Group NPPES

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

SINAI MEDICAL GROUP (NPI 1700082971) is a healthcare organization registered as a psychiatric hospital in Chicago, Illinois and active in the NPI registry since June 2007. The organization lists Robert C Parker, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1700082971
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameMOUNT SINAI COMMUNITY FOUNDATION
Location Address2653 W OGDEN AVEChicago, IL 60608-1647
Mailing Address3537 Paysphere CirChicago, IL 60674-0035 · (708) 786-2900
Phone(773) 257-6672
Organization SubpartNo
Authorized OfficialRobert C ParkerChief Medical Officer · (773) 257-6542
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1700082971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
2653 W OGDEN AVE, Chicago, IL 60608
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Other Names 1

Doing Business AsSinai Medical 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)

Sinai Medical Group 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 Sinai Medical Group, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 416 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 1700082971. It was assigned to this organization in the NPPES registry on June 25, 2007. The provider is doing business as Sinai Medical Group.

Where is Mount Sinai Community Foundation located?

Mount Sinai Community Foundation is located at 2653 W Ogden Ave, Chicago, IL 60608. The listed phone number is (773) 257-6672.

What is Mount Sinai Community Foundation's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

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 416 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 July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.