31ST STD CLINIC — NPI 1821159625 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Public Health & General Preventive Medicine in CHICAGO, IL)

CMS-1500 Box 24J / 33a • NPI

1821159625

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2083P0901X (CMS 84)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Public Health & General Preventive Medicine

Box 32 Service Location & ZIP+4

530 E 31ST ST, STD 31ST STREET CLINIC, CHICAGO, IL, 60616-4008

✓ 9-Digit EDI 837 ZIP+4 (60616-4008)

Practice Phone & Referral Fax

(312) 747-9792

Fax: (312) 747-9447

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1821159625 (31ST STD CLINIC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1821159625` (NPI-2 Organization / Facility)
Provider / Legal Name	31ST STD CLINIC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Public Health & General Preventive Medicine NUCC Code: `2083P0901X` (Preventive Medicine, Public Health & General Preventive Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	530 E 31ST ST, STD 31ST STREET CLINIC, CHICAGO, IL, 60616-4008
Practice Telephone / Fax	Tel: (312) 747-9792 \| Fax: (312) 747-9447
Administrative Mailing Address	333 S STATE STREET, CHICAGO, IL, 60604
Enumeration & Last Sync	Enumerated: 2006-12-13 \| CMS Record Updated: 2008-05-27
Authorized Official	SARAI JACKSON (Director of Revenue)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

530 E 31ST ST, STD 31ST STREET CLINIC, CHICAGO, IL, 60616-4008

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Plain-English Taxonomy & CMS Crosswalk (2083P0901X)

What Does Taxonomy Code 2083P0901X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083P0901X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Public Health & General Preventive Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 84 (Physician/Preventive Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Preventive Medicine, Public Health & General Preventive Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (31ST STD CLINIC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2083P0901X` — Preventive Medicine, Public Health & General Preventive Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Public Health & General Preventive Medicine	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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31ST STD CLINIC (NPI #1821159625)