Individual provider Active NPI

Suriya Sastri, M.D.

  • Gastroenterology Physician
  • Willowbrook, IL
National Provider Identifier
1316904816
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036068118 Issued in IL
Practice address
6900 S Madison St Ste 102
Willowbrook, IL 60527-8433
Phone
(630) 325-8684
Fax
(630) 325-2490
NPI assigned
Apr 27, 2006
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036068118 IL Primary

Addresses

Primary practice location

6900 S Madison St Ste 102
Willowbrook, IL 60527-8433

Mailing address

6900 S Madison St Ste 102
Willowbrook, IL 60527-8433
Phone (630) 325-8684

Other practice location 1

17850 Kedzie Ave Ste 3500
Hazel Crest, IL 60429-2082
Phone (708) 957-4011

Other identifiers 1

IdentifierTypeStateIssuer
036068118MedicaidIL

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL Willowbrook Health Information Exchange (HIE)
Direct Messaging Address ssastri254781@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
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100623000023 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 4880725688 Reassigns benefits to 3 organizations
I20240919003622 WI Practitioner - Gastroenterology 4880725688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6900 Madison St
Suite 102
Willowbrook, IL 60527-5504
Phone (630) 325-8684

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03606118ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suriya Sastri, MDPC Gastroenterology CurrentSince Jan 15, 2012 Accepting new patients
Gastroenterology Services, LTD Gastroenterology CurrentSince Mar 30, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 18, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 18, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Sep 9, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Sep 9, 2024 Accepting new patients
Gastroenterology Services Endoscopy Suite, LTD Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

333 Dixie Hwy
Chicago Hts, IL 60411
Phone (708) 756-0100

3825 Highland Ave
Ste 203
Downers Grove, IL 60515
Phone (630) 969-1167

17850 Kedzie Ave
Ste 3500
Hazel Crest, IL 60429
Phone (708) 799-8585

6900 S Madison St
Ste 102
Willowbrook, IL 60527
Phone (630) 290-1344

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BABFBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BABFBA/Endpoint/BABFBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCAABD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCAABD/Endpoint/JCAABD
  • Direct secure messaging: ssastri254781@direct.myadvocateaurora.org

Organizations & group practices 9

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 5

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1316904816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 S MADISON ST STE 102",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605278433",
            "telephone_number": "630-325-8684",
            "fax_number": "630-325-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 S MADISON ST STE 102",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605278433",
            "telephone_number": "630-325-8684",
            "fax_number": "630-325-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17850 Kedzie Ave Ste 3500",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292082",
            "country_code": "US",
            "telephone_number": "708-957-4011",
            "fax_number": "708-957-4013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASTRI",
        "first_name": "SURIYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036068118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068118",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Willowbrook",
            "affiliation": "N",
            "endpointDescription": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6900 S Madison St Ste 102",
            "city": "Willowbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605278433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssastri254781@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17850 Kedzie Ave Ste 3500",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292082",
            "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": "17850 Kedzie Ave Ste 3500",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.