Datta Sambare M D S C

PAC ID

9234199845The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

IL

Enrollments

1

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

1In 1 place

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Datta Sambare M D S C

  dba Brookville Medical Center

  • Family Medicine Physician
  • Bolingbrook, IL
  • NPI 1780606566
• Datta Sambare M D S C

  dba Madison Parkside Medical Center

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1821034224

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

• Datta Sambare, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1619911211
• Varsha Sambare, M.D.

  • Family Medicine Physician
  • Bolingbrook, IL
  • NPI 1497775233

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.