Sarah Whitney Kovarik, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

085.005676 Issued in IL

Practice address

199 Town SQ
Wheaton, IL 60189-3801

Phone

(630) 871-6690

Fax

(630) 547-5019

NPI assigned

Dec 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Whitney McCracken Former name

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Crest Hill, IL
  • NPI 1053783308
  Medicare reassignment Care Compare group
• Dupage Medical Group LTD

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983
  Medicare reassignment NPD
• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Glen Ellyn, IL
  • NPI 1760979447
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Chicago, IL
  • NPI 1235685256
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Cedar Rapids, IA
  • NPI 1316342611
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1285099374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 TOWN SQ",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601893801",
            "telephone_number": "630-871-6690",
            "fax_number": "630-547-5019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Glencoe",
            "state": "IL",
            "postal_code": "600221531",
            "country_code": "US",
            "telephone_number": "847-459-6400",
            "fax_number": "847-461-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Parkway Dr Ste 521",
            "address_purpose": "LOCATION",
            "city": "Lincolnshire",
            "state": "IL",
            "postal_code": "600694344",
            "country_code": "US",
            "telephone_number": "847-459-6400",
            "fax_number": "847-459-4610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVARIK",
        "first_name": "SARAH",
        "middle_name": "WHITNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.005676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skovarik59477@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "199 Town Sq",
            "city": "Wheaton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601893801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MCCRACKEN",
            "middle_name": "WHITNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isha Kothari, P.A.
• Shveta Kothari
• Anita Kou, M.D.
• James N Kouracos, DDS, MS
• Diane Kouretas, NP
• Joel Abyson Kovoor
• Amy Kowalski
• Tara Elizabeth Kozak
• Alexandra Koziol
• Michaela Kozlik, LCPC

• Medical Physician Assistant in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.