Individual provider Active NPI

Vibha Sabharwal, M.D.

  • Urology Physician
  • Bolingbrook, IL
National Provider Identifier
1235171943
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036-100684 Issued in IL
Practice address
396 Remington Blvd
Suite 310
Bolingbrook, IL 60440-4302
Phone
(630) 226-1436
Fax
(630) 226-6938
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036-100684 IL Primary

Addresses

Primary practice location

396 Remington Blvd
Suite 310
Bolingbrook, IL 60440-4302

Mailing address

396 Remington Blvd
Suite 310
Bolingbrook, IL 60440-4302
Phone (630) 226-1436

Other identifiers 1

IdentifierTypeStateIssuer
399980OtherGROUP MEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vibha.sabharwal.1@380.direct.athenahealth.com

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
I20071026000725 IL Practitioner - Urology 5294739520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Bolingbrook, IL 60440-4311

396 Remington Blvd
Suite 380
Bolingbrook, IL 60440-4302
Phone (224) 273-4000

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 856-3075

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-100684ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Jan 1, 2012 Accepting new patients
United Shockwave Services, LTD. Urology CurrentSince Oct 1, 2007 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners, Inc CurrentSince Jan 1, 2012 Accepting new patients
United Shockwave Services, LTD. CurrentSince Oct 1, 2007 Accepting new patients
Adventist Health Partners,Inc Past Accepting new patients
Rocky Mountain Lithotripter LLC Urology PastSince Nov 1, 2001 Accepting new patients
Choices in Health, PC Urology PastSince Mar 25, 2017 Accepting new patients

Locations

1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440
Phone (630) 312-7755

396 Remington Blvd
Ste 310
Bolingbrook, IL 60440
Phone (630) 226-1436

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

2363 63rd St
Woodridge, IL 60517
Phone 22477355880000

Interoperability endpoints

  • Direct secure messaging: vsabharwal1241184@adventhealth.direct-ci.com
  • Direct secure messaging: vibha.sabharwal.1@380.direct.athenahealth.com

Organizations & group practices 8

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 5

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1235171943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD",
            "address_2": "SUITE 310",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404302",
            "telephone_number": "630-226-1436",
            "fax_number": "630-226-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD",
            "address_2": "SUITE 310",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404302",
            "telephone_number": "630-226-1436",
            "fax_number": "630-226-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABHARWAL",
        "first_name": "VIBHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-100684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "399980",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vibha.sabharwal.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "396 Remington Blvd",
            "address_2": "Suite 310",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604404302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.