Individual provider Active NPI

Sepehr Sani, M.D.

  • Neurological Surgery Physician
  • Chicago, IL
National Provider Identifier
1336281575
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036-110500 Issued in IL
Practice address
1725 W Harrison St Ste 855
Chicago, IL 60612-5113
Phone
(312) 942-6644
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036-110500 IL Primary
Neurological Surgery Physician 207T00000X A98611 CA

Addresses

Primary practice location

1725 W Harrison St Ste 855
Chicago, IL 60612-5113

Mailing address

1725 W Harrison St Ste 855
Chicago, IL 60612-5113
Phone (312) 942-6644

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000122 IL Practitioner - Neurosurgery 9537233424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Medical College of Ohio, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

2011 York Rd
Suite 2000a
Oak Brook, IL 60523-2156
Phone (630) 724-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98611CAMDNeurological Surgery Physician
036-110500ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Jul 1, 2019 Accepting new patients
Rush University Medical Center CurrentSince Jul 1, 2019 Accepting new patients
Rockford Health Physicians CurrentSince Feb 13, 2016 Accepting new patients
Cook County CurrentSince Oct 18, 2016 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Oct 18, 2016 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2040 Ogden Ave
Ste 313
Aurora, IL 60504
Phone (630) 499-2404

2040 Ogden Ave
Ste 300
Aurora, IL 60504
Phone (630) 978-6770

1725 W Harrison St
Ste 855
Chicago, IL 60612
Phone (312) 563-2320

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

75 Remittance Dr
Dept 1611
Chicago, IL 60675

2601 Compass Rd
Ste 110
Glenview, IL 60026
Phone (312) 695-0828

2011 York Rd
Ste 2000A
Oak Brook, IL 60523
Phone (312) 947-7546

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200

Interoperability endpoints

  • Direct secure messaging: ssani6066@direct.rush.rush-health.com

Organizations & group practices 7

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.

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1336281575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 855",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606125113",
            "telephone_number": "312-942-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 855",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606125113",
            "telephone_number": "312-942-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANI",
        "first_name": "SEPEHR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036-110500",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A98611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.