Active NPI
Sacharitha Bowers, MD
- Dermatology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036-136349
- Practice address
- 751 N Rutledge St
Suite 2300
Springfield, IL 62702-4968 - Phone
- (217) 545-8000
- Fax
- (217) 545-4485
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 036-136349 | IL | Primary |
Addresses
Primary practice location
751 N Rutledge St
Suite 2300
Springfield, IL 62702-4968
Mailing address
PO Box 19644
Springfield, IL 62794-9644
Phone (217) 545-8000
Other practice location 1
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036136349 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SBOWERS168026@DIRECT.LUHS.ORG | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Southern Illinois University School of Medicine, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4920 N Glen Park Place Rd
Peoria, IL 61614-4655
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 109 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Dermatology | Current | Accepting new patients |
| Loyola University Medical Center | Current | Accepting new patients | |
| Soderstrom Dermatology Center S C | Current | Accepting new patients | |
| Soderstrom Dermatology Center S C | Dermatology | Current | Accepting new patients |
Locations
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
410 Maxine Dr
Morton, IL 61550
Phone (309) 263-7546
2100 Jacobssen Dr
Normal, IL 61761
Phone (309) 268-9980
4909 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 674-7546
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
751 N Rutledge St
Ste 2300
Springfield, IL 62702
Phone (217) 545-3821
Interoperability endpoints
- sbowers@directaddress.net
Organizations & group practices 5
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.
-
dba SIU HealthCare
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
Dermatology
-
- Dermatology Physician
- Peoria, IL
- NPI 1710931670
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
dba Peoria Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Peoria, IL
- NPI 1053362343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1306067533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19644",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949644",
"telephone_number": "217-545-8000",
"fax_number": "217-545-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 N RUTLEDGE ST",
"address_2": "SUITE 2300",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024968",
"telephone_number": "217-545-8000",
"fax_number": "217-545-4485"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWERS",
"first_name": "SACHARITHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036-136349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036136349",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SBOWERS168026@DIRECT.LUHS.ORG",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2160 S 1st Ave",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "601533328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.