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SMG LAKESIDE MEDICAL CENTER
NPI 1851454698
Family Medicine in Chicago, IL

Active since December 19, 2006
2218 S. MICHIGAN AVE, SMG LAKESIDE MEDICAL CENTER, CHICAGO, IL 60616(312) 842-2082(312) 842-2214 Get Directions Write a Review

NPPES record last updated: May 28, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Smg Lakeside Medical Center NPPES

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

SMG LAKESIDE MEDICAL CENTER (NPI 1851454698) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since December 2006. The organization lists John E. Vazquez, Cmo, as its authorized official.

NPPES Registry Identity

NPI1851454698
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNT SINAI COMMUNITY FOUNDATION
Location Address2218 S. MICHIGAN AVE, SMG LAKESIDE MEDICAL CENTERChicago, IL 60616-2189
Mailing Address1501 S California AveChicago, IL 60608-1732 · (708) 786-2905
Phone(312) 842-2082
Fax(312) 842-2214
Organization SubpartNo
Authorized OfficialJohn E. VazquezCmo · (773) 257-6850
Enumeration DateDecember 19, 2006
Last NPPES UpdateMay 28, 2013
✔ NPI 1851454698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036103785
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 ListedInternal MedicineTaxonomy 207R00000X · License 036059684 (IL)
Also ListedPediatricsTaxonomy 208000000X · License 036046138 (IL)
2218 S. MICHIGAN AVE, Chicago, IL 60616
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Other Names 1

Doing Business AsSmg Lakeside Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Smg Lakeside Medical Center 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 Smg Lakeside Medical Center, which bills Medicare for the services they deliver. Of these, 398 practice 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
Jelena Kovacevic, M.D.
Nephrology
NPI 1629310073
2525 S MICHIGAN AVE MERCY HOSPITAL AND MEDICAL CENTER
Chicago, IL 60616
(754) 242-2727
✔ PECOS✔ Accepts Medicare0.4 mi
Danny Choy, D.O
Internal Medicine
NPI 1376526954
2323 S WENTWORTH AVE
Chicago, IL 60616
(312) 842-0100
✔ PECOS✔ Accepts Medicare0.4 mi
Sze Wong, M.D.
Family Practice
NPI 1053404343
2323 S WENTWORTH AVE SUITE 201
Chicago, IL 60616
(312) 842-0100
✔ PECOS✔ Accepts Medicare0.4 mi
Seshan Subramanian, MD
Hematology/Oncology
NPI 1083691950
2525 S MICHIGAN AVE 1-422
Chicago, IL 60616
(312) 567-6691
✔ PECOS✔ Accepts Medicare0.4 mi
Glenn Beard, M. D.
Pulmonary Disease
NPI 1346317724
2555 S KING DR 2ND FLOOR
Chicago, IL 60616
(312) 674-4005
✔ PECOS✔ Accepts Medicare0.6 mi
Jay Brooker, MD
Orthopedic Surgery
NPI 1235180894
2850 S WABASH AVE SUITE 100
Chicago, IL 60616
(312) 842-4600
✔ PECOS✔ Accepts Medicare0.7 mi
William Heller, MD
Orthopedic Surgery
NPI 1730132945
2850 S WABASH AVE SUITE 100
Chicago, IL 60616
(312) 842-4600
✔ PECOS✔ Accepts Medicare0.7 mi
Michael Maday, MD
Orthopedic Surgery
NPI 1902859341
2850 S WABASH AVE SUITE 100
Chicago, IL 60616
(312) 842-4600
✔ PECOS✔ Accepts Medicare0.7 mi
Conor Salvino, DPM
Podiatry
NPI 1871055145
2850 S WABASH AVE STE 100
Chicago, IL 60616
(312) 842-4600
✔ PECOS✔ Accepts Medicare0.7 mi
Robert Strugala, MD
Orthopedic Surgery
NPI 1861445256
2850 S WABASH AVE SUITE 100
Chicago, IL 60616
(312) 842-4600
✔ PECOS✔ Accepts Medicare0.7 mi
Yang Xue, CNM
Certified Nurse Midwife (CNM)
NPI 1003254475
2850 SOUTH MICHIGAN AVE, SUITE 205
Chicago, IL 60616
(312) 567-2000
✔ PECOS0.7 mi
Olezia Comsulea, M.D., PH.D.
Anesthesiology
NPI 1164468021
2929 S ELLIS AVE
Chicago, IL 60616
(708) 791-2000
✔ PECOS✔ Accepts Medicare0.9 mi
Laura Niiro, M.D.
Family Practice
NPI 1710271846
3259 S WELLS ST
Chicago, IL 60616
(312) 225-5785
✔ PECOS✔ Accepts Medicare1.3 mi
Lisa Macias, MSW, LSW
Clinical Social Worker
NPI 1598535106
917 W 18TH ST FL 2
Chicago, IL 60608
(847) 865-8440
✔ PECOS1.4 mi
Sylvia Moscoso, M.D.
Obstetrics/Gynecology
NPI 1689649105
966 W 21ST ST
Chicago, IL 60608
(773) 254-1400
✔ PECOS✔ Accepts Medicare1.4 mi
Ibrahim Sulaiman
Nurse Practitioner
NPI 1649052184
3515 S PRAIRIE AVE
Chicago, IL 60653
(312) 623-6048
✔ PECOS✔ Accepts Medicare1.5 mi
Benedicta Wren, M.D.
Pediatric Medicine
NPI 1275623050
1239 W 18TH ST
Chicago, IL 60608
(312) 738-3111
✔ PECOS1.8 mi
Michele Cohen, M.D.
Anesthesiology
NPI 1700055266
25 E WASHINGTON ST SUITE 300
Chicago, IL 60602
(312) 726-3329
✔ PECOS✔ Accepts Medicare2.1 mi
Samir Shah, M.D.
Hand Surgery
NPI 1992961494
737 W WASHINGTON BLVD UNIT 3007
Chicago, IL 60661
(312) 589-1002
✔ PECOS✔ Accepts Medicare2.4 mi
Kunal Maini, MD
Psychiatry
NPI 1467959510
1747 W ROOSEVELT RD RM 143
Chicago, IL 60608
(312) 413-0997
✔ PECOS✔ Accepts Medicare2.6 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 1851454698. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Smg Lakeside Medical Center.

Where is Mount Sinai Community Foundation located?

Mount Sinai Community Foundation is located at 2218 S. Michigan Ave Smg Lakeside Medical Center, Chicago, IL 60616. The listed phone number is (312) 842-2082.

What is Mount Sinai Community Foundation's specialty?

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

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, 398 practice 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 May 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.