Individual provider Active NPI

Sapna R Gujja, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1265681597
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125053669 Issued in IL
Practice address
1151 W 14TH PL
Unit # 337
Chicago, IL 60608-2845
Phone
(312) 933-1928
NPI assigned
Sep 10, 2008
Last updated
Sep 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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 125053669 IL Primary

Addresses

Primary practice location

1151 W 14TH PL
Unit # 337
Chicago, IL 60608-2845

Mailing address

1151 W 14TH PL
Unit # 337
Chicago, IL 60608-2845
Phone (312) 933-1928

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
I20101101001414 IL Practitioner - Family Practice 0143414300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cimpar SCGroup PAC ID 3577578798, 35 clinicians

Practice addresses (Care Compare)

101 Madison St
Suite 300
Oak Park, IL 60302-4210
Phone (708) 486-2700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125053669ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cimpar, S.C. CurrentSince Oct 1, 2014 Accepting new patients
Cimpar Consulting, LLC CurrentSince Oct 1, 2014 Accepting new patients

Locations

5730 W Roosevelt Rd
Chicago, IL 60644
Phone (773) 413-1700

1111 Superior St
Ste 104
Melrose Park, IL 60160

101 Madison St
Ste 300
Oak Park, IL 60302
Phone (773) 849-9406

Interoperability endpoints

  • Direct secure messaging: sgujja283743@direct.myadvocateaurora.org

Organizations & group practices 2

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1265681597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 W 14TH PL",
            "address_2": "UNIT # 337",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082845",
            "telephone_number": "312-933-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 W 14TH PL",
            "address_2": "UNIT # 337",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082845",
            "telephone_number": "312-933-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUJJA",
        "first_name": "SAPNA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125053669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.