Active NPI
Kamel Sadat
- Interventional Cardiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 01079402A
- Practice address
- 3180 N Lake Shore Dr Apt 4B
Chicago, IL 60657-4859 - Phone
- (773) 759-2408
- NPI assigned
- Mar 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Q2072 | TX | |
| Internal Medicine Physician | 207R00000X | 01079402A | IN | |
| Internal Medicine Physician | 207R00000X | 30987 | AL | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 01079402A | IN | |
| Cardiovascular Disease Physician | 207RC0000X | 01079402A | IN | |
| Nuclear Cardiology Physician | 207UN0901X | 01079402A | IN | |
| Diagnostic Ultrasound Physician | 2085U0001X | 01079402A | IN | |
| Hospitalist Physician | 208M00000X | 036.124018 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 01079402A | IN | Primary |
Addresses
Primary practice location
3180 N Lake Shore Dr Apt 4B
Chicago, IL 60657-4859
Mailing address
3180 N Lake Shore Dr Apt 4B
Chicago, IL 60657-4859
Phone (773) 759-2408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 E Culver Rd
Knox, IN 46534-2241
1044 N Mozart St
Suite 100
Chicago, IL 60622-3644
Phone (773) 292-8200
1331 State St
La Porte, IN 46350-3112
2901 N Clybourn Ave
Chicago, IL 60618-8101
Phone (773) 759-2408
840 W Irving Park Rd
Suite 301
Chicago, IL 60613-3011
Phone (773) 975-6775
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30987 | AL | MD | Internal Medicine Physician |
| Q2072 | TX | MD | Internal Medicine Physician |
| 01079402A | IN | MD | Advanced Heart Failure and Transplant Cardiology Physician |
| 036.124018 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thorek Memorial Hospital | Current | Accepting new patients | |
| Porter Physician Services LLC | Internal Medicine | Current | Accepting new patients |
| La Porte Clinic Company LLC | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Humboldt Park Health | Internal Medicine | Current | Accepting new patients |
| Lutheran Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Prairie Cardiovascular Consultants LTD | Cardiovascular Disease | Current | Accepting new patients |
| La Porte Clinic Company LLC | Internal Medicine | Current | Accepting new patients |
| Premier Cardiovascular Institute Inc | Internal Medicine | Current | Accepting new patients |
| Thorek Memorial Hospital | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Summit County, LTD. | Internal Medicine | Past | Accepting new patients |
| Hospitalist Medicine Physicians of Ashtabula County, LTD | Internal Medicine | Past | Accepting new patients |
Locations
2901 N Clybourn Ave
Chicago, IL 60618
Phone (773) 423-6178
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
1044 N Mozart St
Ste 100
Chicago, IL 60622
Phone (773) 292-8247
840 W Irving Park Rd
#301
Chicago, IL 60613
Phone (240) 245-0890
3 Saint Elizabeth Blvd
Ste 2800
O Fallon, IL 62269
Phone (618) 233-6044
619 E Mason St
#4P57
Springfield, IL 62701
650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300
3500 Franciscan Way
Ste 400
Michigan City, IN 46360
Phone (219) 878-8200
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
Networks
- IL PPO Downstate
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- IL HMO C-SNP
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
Organizations & group practices 12
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.
-
- Interventional Cardiology Physician
- Chicago, IL
- NPI 1245071042
Internal Medicine
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982643961
-
- Internal Medicine Physician
- Valparaiso, IN
- NPI 1568829224
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1982714218
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
Internal Medicine
-
- Family Medicine Physician
- Valparaiso, IN
- NPI 1508075680
Internal Medicine
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1891755351
-
- Durable Medical Equipment & Medical Supplies
- La Porte, IN
- NPI 1275081788
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
-
- Internal Medicine Physician
- Ashtabula, OH
- NPI 1669523726
-
- Internal Medicine Physician
- Barberton, OH
- NPI 1023273950
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1972594877
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1679659585
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982643961
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1013189281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 N LAKE SHORE DR APT 4B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574859",
"telephone_number": "773-759-2408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 N LAKE SHORE DR APT 4B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574859",
"telephone_number": "773-759-2408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADAT",
"first_name": "KAMEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-28",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q2072",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01079402A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "30987",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "IN",
"license": "01079402A",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01079402A",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "IN",
"license": "01079402A",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "IN",
"license": "01079402A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036.124018",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IN",
"license": "01079402A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.