Active NPI
Barry Sadegi, M.D.
- Maternal & Fetal Medicine Physician
- Downers Grove, IL
National Provider Identifier
1013018449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 036046311
- Practice address
- 3825 Highland Ave
3B
Downers Grove, IL 60515-1552 - Phone
- (630) 434-9300
- Fax
- (630) 434-9302
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 036046311 | IL | Primary |
Addresses
Primary practice location
3825 Highland Ave
3B
Downers Grove, IL 60515-1552
Mailing address
3825 Highland Ave
3B
Downers Grove, IL 60515-1552
Phone (630) 434-9300
Other practice location 1
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 679-2160
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1400955817 | Other | IL | CLIA |
| 363553540 | Other | IL | TAXID |
| 207Q00000X | Other | IL | TAXONOMY |
| K26224 | Other | IL | MEDICARE PTAN |
| 0031601938 | Other | IL | BCBS |
| 2239111 | Other | IL | CIGNA |
| 036046311 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bsadegi198922@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036046311 | IL | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vipal K Arora MD SC | Past | Accepting new patients |
Interoperability endpoints
- bsadegi198922@direct.franciscanalliance.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Downers Grove, IL
- NPI 1629213269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1013018449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 HIGHLAND AVE",
"address_2": "3B",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151552",
"telephone_number": "630-434-9300",
"fax_number": "630-434-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 HIGHLAND AVE",
"address_2": "3B",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151552",
"telephone_number": "630-434-9300",
"fax_number": "630-434-9302"
}
],
"practiceLocations": [
{
"address_1": "20201 Crawford Ave",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "604611010",
"country_code": "US",
"telephone_number": "708-679-2160",
"fax_number": "708-679-2161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SADEGI",
"first_name": "BARRY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "IL",
"license": "036046311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "1400955817",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXID",
"identifier": "363553540",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "207Q00000X",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "K26224",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0031601938",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2239111",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036046311",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bsadegi198922@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "20201 Crawford Ave",
"city": "Olympia Fields",
"state": "IL",
"country_code": "US",
"postal_code": "604611010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.