Individual provider Active NPI

Sara R Vegh, M.D.

  • Ophthalmology Physician
  • Libertyville, IL
National Provider Identifier
1104828102
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036071818 Issued in IL
Practice address
1880 W Winchester Rd
Suite 105
Libertyville, IL 60048
Phone
(847) 362-3811
Fax
(847) 362-0428
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036071818 IL
Ophthalmology Physician 207W00000X 036071818 IL Primary

Addresses

Primary practice location

1880 W Winchester Rd
Suite 105
Libertyville, IL 60048

Mailing address

1880 W Winchester Rd
Suite 105
Libertyville, IL 60048-5321
Phone (847) 362-3811

Other identifiers 3

IdentifierTypeStateIssuer
180012789OtherILRR MEDICARE
036071818MedicaidIL
04901134OtherILBLUE CROSS BLUE SHIELD

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address svegh234684@direct.myadvocateaurora.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040916000969 IL Practitioner - Ophthalmology 0345217402 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036071818ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Cataract and Lasik SC Ophthalmology CurrentSince Jan 2, 2020 Accepting new patients
Ophthalmology Associates LTD Ophthalmology CurrentSince Jan 4, 2021 Accepting new patients
Sara Vegh, M.D., S.C. Specialist Current Accepting new patients
Wyse Eyecare SC Ophthalmology PastSince Sep 1, 2010 Accepting new patients

Locations

1670 Capital St
Elgin, IL 60124

1670 Capital St
Ste 100
Elgin, IL 60124
Phone (847) 888-2020

1880 W Winchester Rd
Ste 105
Libertyville, IL 60048
Phone (847) 362-3811

Interoperability endpoints

  • Direct secure messaging: svegh@libertyvilleeye.direct.eyemdemr.com
  • Direct secure messaging: svegh234684@direct.myadvocateaurora.org

Organizations & group practices 4

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1104828102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD",
            "address_2": "SUITE 105",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485321",
            "telephone_number": "847-362-3811",
            "fax_number": "847-362-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD",
            "address_2": "SUITE 105",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-362-3811",
            "fax_number": "847-362-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGH",
        "first_name": "SARA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036071818",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036071818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180012789",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071818",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04901134",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1670 Capital St Ste 100",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601247837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svegh234684@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1670 Capital St Ste 100",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601247837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.