Individual provider Active NPI

Sakeba N Issa, M.D.

  • Rheumatology Physician
  • Joliet, IL
National Provider Identifier
1164475505
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036108752 Issued in IL
Practice address
903 129TH Infantry Dr
Suite 600
Joliet, IL 60435-3170
Phone
(815) 744-7246
Fax
(815) 744-7246
NPI assigned
May 18, 2006
Last updated
May 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036108752 IL Primary

Addresses

Primary practice location

903 129TH Infantry Dr
Suite 600
Joliet, IL 60435-3170

Mailing address

903 129TH Infantry Dr
Suite 600
Joliet, IL 60435-3170
Phone (815) 744-7246

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
I20060613000247 IL Practitioner - RheumatologyPractitioner - Internal Medicine 9335151208

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Cardiologist Inc PastSince Feb 12, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1164475505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 129TH INFANTRY DR",
            "address_2": "SUITE 600",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353170",
            "telephone_number": "815-744-7246",
            "fax_number": "815-744-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 129TH INFANTRY DR",
            "address_2": "SUITE 600",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353170",
            "telephone_number": "815-744-7246",
            "fax_number": "815-744-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSA",
        "first_name": "SAKEBA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036108752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.