Organization Active NPI

Barry Sadegi, M.D., S.C.

  • Obstetrics & Gynecology Physician
  • Downers Grove, IL
National Provider Identifier
1063608974
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036046311 Issued in IL
Legal business name
BARRY SADEGI, M.D., S.C.
Practice address
3825 Highland Ave
3B
Downers Grove, IL 60515-1549
Phone
(630) 434-9300
Fax
(630) 434-9302
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Dr. Barry Sadegi, M.D.
Title
OB-GYN
Phone
(630) 434-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 036046311 IL Primary

Addresses

Primary practice location

3825 Highland Ave
3B
Downers Grove, IL 60515-1549

Mailing address

3825 Highland Ave Ste 3B
Downers Grove, IL 60515-1549
Phone (630) 434-9300

Other practice location 1

20201 S Crawford Ave
Olympia Fields, IL 60461-1549
Phone (708) 679-2160

Other identifiers 1

IdentifierTypeStateIssuer
036046311MedicaidIL

National Provider Directory

National Provider Directory

Locations

3825 Highland Ave
Ste 3B
Downers Grove, IL 60515
Phone (630) 434-9300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1063608974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE STE 3B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151549",
            "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": "605151549",
            "telephone_number": "630-434-9300",
            "fax_number": "630-434-9302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20201 S Crawford Ave",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611549",
            "country_code": "US",
            "telephone_number": "708-679-2160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BARRY SADEGI, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "SADEGI",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OB-GYN",
        "authorized_official_telephone_number": "630-434-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036046311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046311",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "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 Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.