LIFETIME MEDICAL ASSOCIATES
NPI 1902873003
Internal Medicine in Chicago, IL

Active since March 07, 2006CLIA 14D0961008 · Microscopy
1645 W JACKSON BLVD, SUITE 215, CHICAGO, IL 60612(312) 942-8000 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lifetime Medical Associates NPPES

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

LIFETIME MEDICAL ASSOCIATES (NPI 1902873003) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through June 30, 2027 and lists Brian T Smith, Vp/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1902873003
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRUSH UNIVERSITY MEDICAL CENTER
Location Address1645 W JACKSON BLVD, SUITE 215Chicago, IL 60612-3276
Mailing Address1645 W Jackson Blvd, Suite 215Chicago, IL 60612-3276 · (312) 942-8000
Organization SubpartYes
Authorized OfficialBrian T SmithVp/authorized Official · (312) 942-6909
Enumeration DateMarch 7, 2006
Last NPPES UpdateAugust 9, 2013
NPI 1902873003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X
1645 W JACKSON BLVD, Chicago, IL 60612

Other Names 1

Doing Business AsLifetime Medical Associates

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

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) 14D0961008

Lifetime Medical Associates · Chicago, IL
Active · expires Jun 30, 2027
CLIA Number14D0961008
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorSurabhi Mehrotra M D
Laboratory Phone(312) 942-8000
Laboratory LocationLifetime Medical Associates1645 W Jackson, Ste 215, Chicago, IL 60612
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.

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.

Internal Medicine
1645 W JACKSON BLVD, SUITE 675
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, STE 200
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, SUITE 215
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, SUITE 200
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, SUITE 200
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, SUITE 200
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, SUITE 200
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, SUITE 200
CHICAGO, IL 60612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902873003, enumerated as an "organization" on March 07, 2006.

The provider is located at 1645 W JACKSON BLVD SUITE 215 CHICAGO, IL 60612 and the phone number is (312) 942-8000.

Internal Medicine with taxonomy code 207R00000X.