Individual provider Active NPI

Sanjana Thakkar

  • Family Nurse Practitioner
  • Bloomingdale, IL
National Provider Identifier
1295473551
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.025163 Issued in IL
Practice address
398 W Army Trail Rd Unit 118
Bloomingdale, IL 60108-2398
Phone
(630) 380-3100
Fax
(630) 380-3099
NPI assigned
May 25, 2022
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.025163 IL Primary

Addresses

Primary practice location

398 W Army Trail Rd Unit 118
Bloomingdale, IL 60108-2398

Mailing address

1942 Golf View Dr
Bartlett, IL 60103-1540
Phone (630) 885-7573

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117001381 IL Practitioner - Nurse Practitioner 8729452149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Medical Center IncGroup PAC ID 2769980143, 2 clinicians

Practice addresses (Care Compare)

398 W Army Trail Rd
Unit 118
Bloomingdale, IL 60108-2398
Phone (630) 380-3100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.025163ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Medical Center Inc Family CurrentSince Jul 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 9, 2023 Accepting new patients

Locations

398 W Army Trail Rd
Ste 118
Bloomingdale, IL 60108
Phone (630) 380-3100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAEIDD/Endpoint/IAEIDD

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.

Hospital & facility affiliations 2

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": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1295473551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 GOLF VIEW DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031540",
            "telephone_number": "630-885-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 W ARMY TRAIL RD UNIT 118",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082398",
            "telephone_number": "630-380-3100",
            "fax_number": "630-380-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "SANJANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.025163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.