NPIMap

Organization Active NPI

Sawar'S Neurological Institute, PC

  • Rheumatology Physician
  • Carbondale, IL
National Provider Identifier
1104871722
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036088861 Issued in IL
Legal business name
SAWAR'S NEUROLOGICAL INSTITUTE, PC
Practice address
714 E Walnut St
Carbondale, IL 62901-3103
Phone
(618) 549-1727
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Mr. Amar Sawar, M.D.NPI 1245280445
Title
President
Phone
(618) 549-1727

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 036088861 IL Primary

Addresses

Primary practice location

714 E Walnut St
Carbondale, IL 62901-3103

Mailing address

PO Box 2227
Carbondale, IL 62902-2227
Phone (618) 549-1727

Other identifiers 5

IdentifierTypeStateIssuer
118585OtherILHEALTH ALLIANCE
335304OtherILHEALTHLINK
036088861MedicaidIL
03932048OtherILBLUE CROSS BLUE SHIELD OF ILLINOIS
6734930001OtherILDMERC

Other names 1

  • Sawar's Neurological Institute, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060807000033 IL Part B Supplier - Clinic/Group Practice 1254334576 Receives reassigned benefits from 1 practitioner
Practice locations: Murphysboro, IL; Sparta, IL; Pinckneyville, IL; Maryville, IL; Marion, IL; Highland, IL; Herrin, IL; Harrisburg, IL…
O20130501000164 IL DME Supplier - Physician - Neurology 1254334576 Practice locations: Carbondale, IL

National Provider Directory

National Provider Directory

Locations

714 E Walnut St
Carbondale, IL 62901
Phone (618) 457-5118

301 N Robinson Cir
Carbondale, IL 62901
Phone (618) 457-5118

101 N Division St
Ste A
Carterville, IL 62918
Phone (618) 985-9555

Practitioners & affiliated clinicians

Practitioners 3

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1104871722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2227",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629022227",
            "telephone_number": "618-549-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 E WALNUT ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013103",
            "telephone_number": "618-549-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWAR'S NEUROLOGICAL INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "SAWAR",
        "authorized_official_first_name": "AMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-549-1727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036088861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "118585",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "335304",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088861",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "03932048",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "6734930001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sawar's Neurological Institute, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.