NPIMap

Individual provider Active NPI

Saw M Oo, MD

  • Family Medicine Physician
  • Bourbonnais, IL
National Provider Identifier
1093813156
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036108040 Issued in IL
Practice address
370 Larry Power Rd
Suite 2
Bourbonnais, IL 60914-5195
Phone
(815) 523-7020
Fax
(815) 523-7022
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036108040 IL Primary

Addresses

Primary practice location

370 Larry Power Rd
Suite 2
Bourbonnais, IL 60914-5195

Mailing address

370 Larry Power Rd
Suite 2
Bourbonnais, IL 60914-5195
Phone (815) 523-7020

Other identifiers 2

IdentifierTypeStateIssuer
36108040MedicaidIL
4632039OtherILBC GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116000838 IL Practitioner - Internal Medicine 0648171108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Internal Medicine, S.C.Group PAC ID 2668526047, 2 clinicians

Practice addresses (Care Compare)

370 Larry Power Rd
Suite 2
Bourbonnais, IL 60914-5193

370 Larry Power Rd
Suite 2
Bourbonnais, IL 60914-5195
Phone (815) 523-7020

Hospital & facility affiliations

  • R.M.C. Home Health Care Home health agency, Peotone, IL, CCN 147400
  • Elara Caring III Home health agency, Tinley Park, IL, CCN 147862
  • Prime Healthcare Home Care and Hospice, LLC Home health agency, Kankakee, IL, CCN 147105
  • Uplifted Care Hospice, Bourbonnais, IL, CCN 141556
  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
  • Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036108040ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Internal Medicine, S.C. CurrentSince Jun 1, 2009 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Abc Pediatrics of Kankakee County Past Accepting new patients

Locations

370 Larry Power Rd
Ste 2
Bourbonnais, IL 60914
Phone (815) 523-2070

370 Larry Power Rd
Bourbonnais, IL 60914
Phone (815) 523-7020

Organizations & group practices 3

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 6

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1093813156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 LARRY POWER RD",
            "address_2": "SUITE 2",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145195",
            "telephone_number": "815-523-7020",
            "fax_number": "815-523-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LARRY POWER RD",
            "address_2": "SUITE 2",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145195",
            "telephone_number": "815-523-7020",
            "fax_number": "815-523-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OO",
        "first_name": "SAW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036108040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36108040",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP #",
            "identifier": "4632039",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.