Individual provider Active NPI

Lou Jay Sagadraca, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Oakbrook Terrace, IL
National Provider Identifier
1023834645
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.030844 Issued in IL
Practice address
18W140 Butterfield Rd Ste 1020
Oakbrook Terrace, IL 60181-4851
Phone
(630) 320-6871
Fax
(630) 385-0026
NPI assigned
Nov 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.030844 IL Primary

Addresses

Primary practice location

18W140 Butterfield Rd Ste 1020
Oakbrook Terrace, IL 60181-4851

Mailing address

18W140 Butterfield Rd Ste 1020
Oakbrook Terrace, IL 60181-4851
Phone (630) 320-6871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326001206 IL Practitioner - Nurse Practitioner 8325561897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians

Practice addresses (Care Compare)

1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
209.030844ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Home Physicians, LLC CurrentSince Jan 18, 2025 Accepting new patients

Locations

18W140 Butterfield Rd
Ste 1020
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1023834645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18W140 BUTTERFIELD RD STE 1020",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814851",
            "telephone_number": "630-320-6871",
            "fax_number": "630-385-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18W140 BUTTERFIELD RD STE 1020",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814851",
            "telephone_number": "630-320-6871",
            "fax_number": "630-385-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGADRACA",
        "first_name": "LOU JAY",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.030844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.