Active NPI
Pepsi Satpal Sarai, O.D.
- Optometrist
- Chicago, IL
National Provider Identifier
1366504763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046009595
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046-009595 | Other | IL | STATE LICENSE # |
| 7008587 | Other | IL | AETNA |
| 9485960 | Other | MULTIPLAN | |
| 01636791 | Other | IL | BLUE CROSS BLUE SHIELD |
| IL9595 | Other | IL | EYEMED VISION CARE |
Other names 1
- Dr. Satpal P. Sarai
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Eye Care LTD | Optometrist | Current | Accepting new patients |
| Village Eye Care LTD | Optometrist | Past | Accepting new patients |
| Chicago Eyes LTD | Optometrist | Past | 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.
-
- Optometrist
- Chicago, IL
- NPI 1477601664
-
- Optometrist
- Chicago, IL
- NPI 1619279601
-
- Optometrist
- Chicago, IL
- NPI 1356497721
-
- Optometrist
- Chicago, IL
- NPI 1063633394
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.