CHICAGO SPORTS MEDICINE INSTITUTE
NPI 1992220404
Orthopaedic Surgery - Sports Medicine in Chicago, IL

NPI Status: Active since August 04, 2017

Contact Information

875 N DEARBORN ST
CHICAGO, IL
ZIP 60610
Phone: (312) 255-7540
Fax: (312) 255-1276

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  • Organization
  • Orthopaedic Surgery
  • Sports Medicine

About CHICAGO SPORTS MEDICINE INSTITUTE

This page provides the complete NPI Profile along with additional information for Chicago Sports Medicine Institute, a provider established in Chicago, Illinois operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1992220404 assigned on August 2017. The practitioner's primary taxonomy code is 207XX0005X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Karen Matthews (Billing Manager)

NPI
1992220404
Provider Name
CHICAGO SPORTS MEDICINE INSTITUTE
Entity Type
Organization
Location Address
875 N DEARBORN ST CHICAGO, IL 60610
Location Phone
(312) 255-7540
Location Fax
(312) 255-1276
Mailing Address
875 N DEARBORN ST CHICAGO, IL 60610
Mailing Phone
(312) 255-7540
Mailing Fax
(312) 255-1276
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2017
Last Update Date
07-22-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAREN MATTHEWS

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(773) 480-4584

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
036091945OTHER (01)ILLICENSE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992220404, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 4 + 2 + 0 + 4 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1992220404.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Professional)
875 N DEARBORN ST, SUITE 204
CHICAGO, IL 60610
Clinic/Center (Sleep Disorder Diagnostic)
875 N DEARBORN ST, SUITE 400
CHICAGO, IL 60610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992220404, enumerated as an "organization" on August 04, 2017.

The provider is located at 875 N DEARBORN ST CHICAGO, IL 60610 and the phone number is (312) 255-7540.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.