Individual provider Active NPI

Sade Wright, PA

  • Physician Assistant
  • Olympia Fields, IL
National Provider Identifier
1073107256
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085008270 Issued in IL
Practice address
3800 W 203Rd St Ste 202
Olympia Fields, IL 60461-1185
Phone
(708) 852-2555
Fax
(708) 679-2223
NPI assigned
Feb 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085008270 IL Primary

Addresses

Primary practice location

3800 W 203Rd St Ste 202
Olympia Fields, IL 60461-1185

Mailing address

35318 Eagle Way Chicago
Chicago, IL 60678-1353
Phone (317) 528-4800

Other practice location 1

675 N Saint Clair St Ste 18-250
Chicago, IL 60611-5980
Phone (312) 695-1800

Other practice location 2

7900 Division St
River Forest, IL 60305-1066
Phone (708) 366-2490

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
I20210429000625 IL Practitioner - Physician Assistant 8527477744 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (844) 740-4445

20201 S Crawford Ave
Suite 1400
Olympia Fields, IL 60461-1010
Phone (708) 379-2310

3700 W 203Rd St
Olympia Fields, IL 60461-1182

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085008270ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Illinois, LLC CurrentSince May 30, 2024 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince May 30, 2024 Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

3800 W 203rd St
Ste 204
Olympia Fields, IL 60461
Phone (708) 679-2670

3800 W 203rd St
Ste 202
Olympia Fields, IL 60461
Phone (708) 679-2010

3800 W 203rd St
Ste 201
Olympia Flds, IL 60461

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

Organizations & group practices 5

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 1

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": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1073107256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35318 EAGLE WAY CHICAGO",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781353",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W 203RD ST STE 202",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611185",
            "telephone_number": "708-852-2555",
            "fax_number": "708-679-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 N Saint Clair St Ste 18-250",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606115980",
            "country_code": "US",
            "telephone_number": "312-695-1800",
            "fax_number": "312-695-4741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7900 Division St",
            "address_purpose": "LOCATION",
            "city": "River Forest",
            "state": "IL",
            "postal_code": "603051066",
            "country_code": "US",
            "telephone_number": "708-366-2490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SADE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.