Individual provider Active NPI

Sahar Yazdani, M.D.

  • Family Medicine Physician
  • Chatham, IL
National Provider Identifier
1174905574
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036144695 Issued in IL
Practice address
125 E Plummer Blvd Ste a
Chatham, IL 62629
Phone
(217) 483-3333
Fax
(217) 483-4393
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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 036144695 IL Primary

Addresses

Primary practice location

125 E Plummer Blvd Ste a
Chatham, IL 62629

Mailing address

125 E Plummer Blvd Ste a
Chatham, IL 62629-8136
Phone (217) 483-3333

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
I20180627000099 IL Practitioner - Family Practice 6002161494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

125 E Plummer Blvd
Chatham, IL 62629-8047
Phone (217) 483-3333

Hospital & facility affiliations

  • HSHS Home Care Illinois Home health agency, Effingham, IL, CCN 147661
  • St Johns Hospital Hospital, Springfield, IL, CCN 140053
  • St Francis Hospital Hospital, Litchfield, IL, CCN 141350
  • Memorial Medical Center Hospital, Springfield, IL, CCN 140148

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Jul 16, 2018 Accepting new patients
HSHS Medical Group Inc CurrentSince Jul 16, 2018 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

125 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3333

125 E Plummer Blvd
Ste A
Chatham, IL 62629
Phone (217) 483-3333

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

Interoperability endpoints

  • Direct secure messaging: syazdani@ahcdetroit.directbygreenway.com

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 4

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1174905574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E PLUMMER BLVD STE A",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626298136",
            "telephone_number": "217-483-3333",
            "fax_number": "217-483-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E PLUMMER BLVD STE A",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "62629",
            "telephone_number": "217-483-3333",
            "fax_number": "217-483-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDANI",
        "first_name": "SAHAR",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036144695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, IL

Sources for this page

Verify at the official NPI Registry.