Organization Active NPI

SB Merchant M.D., Inc

  • Obstetrics & Gynecology Physician
  • South Barrington, IL
National Provider Identifier
1083372338
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SB MERCHANT M.D., INC
Practice address
3 Executive CT Ste 3
South Barrington, IL 60010-9537
Phone
(224) 655-7778
NPI assigned
Dec 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Sheri B Merchant, MDNPI 1043248248
Title
Provider
Phone
(224) 452-5253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3 Executive CT Ste 3
South Barrington, IL 60010-9537

Mailing address

3 Executive CT Ste 3
South Barrington, IL 60010-9537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221202002794 IL Part B Supplier - Clinic/Group Practice 4688041536 Receives reassigned benefits from 1 practitioner
Practice locations: South Barrington, IL

National Provider Directory

National Provider Directory

Locations

3 Executive Ct
Ste 3
South Barrington, IL 60010
Phone (224) 452-5253

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": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1083372338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE CT STE 3",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE CT STE 3",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109537",
            "telephone_number": "224-655-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB MERCHANT M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "224-452-5253",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.