Individual provider Active NPI

Pepsi Satpal Sarai, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1366504763
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009595 Issued in IL
Practice address
1116 W Taylor St
Chicago, IL 60607-4214
Phone
(312) 829-6173
Fax
(312) 829-3504
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009595 IL Primary

Addresses

Primary practice location

1116 W Taylor St
Chicago, IL 60607-4214

Mailing address

1116 W Taylor St
Chicago, IL 60607-4214
Phone (312) 829-6173

Other identifiers 5

IdentifierTypeStateIssuer
046-009595OtherILSTATE LICENSE #
7008587OtherILAETNA
9485960OtherMULTIPLAN
01636791OtherILBLUE CROSS BLUE SHIELD
IL9595OtherILEYEMED VISION CARE

Other names 1

  • Dr. Satpal P. Sarai Professional name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050221000449 IL Practitioner - Optometry 0648222422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Eye Care LTDGroup PAC ID 2567565088, 8 clinicians

Practice addresses (Care Compare)

622 N Clark St
Chicago, IL 60660-1208
Phone (773) 743-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Village Eye Care LTD Optometrist CurrentSince Jan 2, 2007 Accepting new patients
Village Eye Care LTD Optometrist Past Accepting new patients
Chicago Eyes LTD Optometrist PastSince Mar 10, 2008 Accepting new patients
Village Eyecare Optometrist Past Accepting new patients

Locations

6200 N Clark St
Chicago, IL 60660
Phone (773) 743-1221

1243 S Wabash Ave
Chicago, IL 60605
Phone (312) 663-4250

1903 W Division St
Chicago, IL 60622

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1366504763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074214",
            "telephone_number": "312-829-6173",
            "fax_number": "312-829-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074214",
            "telephone_number": "312-829-6173",
            "fax_number": "312-829-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAI",
        "first_name": "PEPSI",
        "middle_name": "SATPAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "046-009595",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7008587",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "9485960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01636791",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "IL9595",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SATPAL",
            "last_name": "SARAI",
            "middle_name": "P.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.