Individual provider Active NPI

Kamel Sadat

  • Interventional Cardiology Physician
  • Chicago, IL
National Provider Identifier
1013189281
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01079402A Issued in IN
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

Updated by the provider on Jul 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170801003441 IL Practitioner - HospitalistPractitioner - Internal Medicine 4880710706 Reassigns benefits to 4 organizations
I20220627003614 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 4880710706 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians
Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians
Thorek Memorial HospitalGroup PAC ID 4981593399, 49 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30987ALMDInternal Medicine Physician
Q2072TXMDInternal Medicine Physician
01079402AINMDAdvanced Heart Failure and Transplant Cardiology Physician
036.124018ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thorek Memorial Hospital CurrentSince Jan 30, 2025 Accepting new patients
Porter Physician Services LLC Internal Medicine CurrentSince Feb 3, 2025 Accepting new patients
La Porte Clinic Company LLC CurrentSince Oct 1, 2024 Accepting new patients
Lutheran Medical Group LLC CurrentSince Jun 17, 2024 Accepting new patients
Humboldt Park Health Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Lutheran Medical Group LLC Internal Medicine CurrentSince Jun 17, 2024 Accepting new patients
Prairie Cardiovascular Consultants LTD Cardiovascular Disease CurrentSince Sep 6, 2024 Accepting new patients
La Porte Clinic Company LLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Premier Cardiovascular Institute Inc Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Thorek Memorial Hospital CurrentSince Jan 30, 2025 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.