Individual provider Active NPI

Sarrah Asgarali

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1366247579
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.011519 Issued in IL
Practice address
4677 W Peterson Ave
Chicago, IL 60646-5834
Phone
(773) 956-3007
NPI assigned
Feb 13, 2025
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.011519 IL Primary

Addresses

Primary practice location

4677 W Peterson Ave
Chicago, IL 60646-5834

Mailing address

4677 W Peterson Ave
Chicago, IL 60646-5834

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
I20251006003931 IL Practitioner - Physician Assistant 2365949500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shifa Nephrology Associates LLCGroup PAC ID 6305028390, 13 clinicians

Practice addresses (Care Compare)

6316 N Lincoln Ave
Suite 200
Chicago, IL 60659-1204
Phone (773) 423-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.011519ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shifa Nephrology Associates LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1544 W Chicago Ave
Chicago, IL 60642
Phone (312) 432-1707

6316 N Lincoln Ave
#200
Chicago, IL 60659
Phone (773) 423-6400

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1366247579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465834",
            "telephone_number": "773-956-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASGARALI",
        "first_name": "SARRAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.011519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.