Pricha Sattayatam, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036048608 Issued in IL

Practice address

1200 E Tremont St
Hillsboro, IL 62049-1912

Phone

(217) 532-6222

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: sattayatam@yourcarecommunity.org

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.

• Chiropractic Specialist, Inc.

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Highland, IL
  • NPI 1629378872
  NPD (past)
• Dr James L Rehberger PC

  • Chiropractor
  • Highland, IL
  • NPI 1710082771
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1205814100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 DIXON DR",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E TREMONT ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491912",
            "telephone_number": "217-532-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTAYATAM",
        "first_name": "PRICHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036048608",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036048608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048608",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rehabedge, LLC
• Douglas Rice, MA, CCC-SLP
• Robert G. Balen D.M.D., LTD.
• Karli Robinson, PMHNP
• Cady Sanborn
• Scott M Sawyer, OD
• Erin Schaub, M.A.
• Melody S. Schniepp, M.D.
• Tayler Alexis Shelton, MD
• Kurt Simon, M.DIV., C.A.D.C.

• Family Medicine Physician in Hillsboro, IL
• Providers in Hillsboro, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.