Active NPI
Susan Sankari, M.D.
- Pediatrics Physician
- Lisle, IL
National Provider Identifier
1306984216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036094458
- Practice address
- 6010 Route 53 Ste D
Lisle, IL 60532-3391 - Phone
- (630) 778-8800
- Fax
- (630) 778-8909
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036094458 | IL | Primary |
Addresses
Primary practice location
6010 Route 53 Ste D
Lisle, IL 60532-3391
Mailing address
6010 Route 53 Ste D
Lisle, IL 60532-3391
Phone (630) 778-8800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4759304 | Other | IL | CIGNA |
| 5683550 | Other | IL | AETNA |
| 02227160 | Other | IL | BCBS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssankari252044@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036094458 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twenty First Century Pediatrics | Pediatrics | Current | Accepting new patients |
| Twenty First Century Pediatrics PLLC | Pediatrics | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
640 S Washington St
Ste 224
Naperville, IL 60540
6855 Kingery Hwy
Willowbrook, IL 60527
Phone (630) 778-8800
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHABCA/Endpoint/FHABCA
- https://fhir4.healow.com/fhir/r4/FHABCA
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Lisle, IL
- NPI 1699801696
-
- Pediatrics Physician
- Lisle, IL
- NPI 1689565285
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1306984216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 ROUTE 53 STE D",
"city": "LISLE",
"state": "IL",
"postal_code": "605323391",
"telephone_number": "630-778-8800",
"fax_number": "630-778-8909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 ROUTE 53 STE D",
"city": "LISLE",
"state": "IL",
"postal_code": "605323391",
"telephone_number": "630-778-8800",
"fax_number": "630-778-8909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANKARI",
"first_name": "SUSAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036094458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4759304",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5683550",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02227160",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssankari252044@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6010 Route 53 Ste D",
"city": "Lisle",
"state": "IL",
"country_code": "US",
"postal_code": "605323391",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "6010 Route 53 Ste D",
"city": "Lisle",
"state": "IL",
"country_code": "US",
"postal_code": "605323391",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.