Individual provider Active NPI

Savitharani Sampath, M.D.,

  • Pediatrics Physician
  • Plainfield, IL
National Provider Identifier
1376791368
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036120073 Issued in IL
Practice address
13415 S Rte 59
Plainfield, IL 60585-5676
Phone
(815) 609-3627
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036120073 IL Primary

Addresses

Primary practice location

13415 S Rte 59
Plainfield, IL 60585-5676

Mailing address

2216 Stowe Cir
Naperville, IL 60564-8456
Phone (630) 892-4355

Other identifiers 1

IdentifierTypeStateIssuer
036.120073MedicaidIL

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
I20140529002436 IL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5092875120

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vna Health Care Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ssampath586490@direct.ochin.org

Organizations & group practices 2

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1376791368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 STOWE CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648456",
            "telephone_number": "630-892-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13415 S RTE 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855676",
            "telephone_number": "815-609-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPATH",
        "first_name": "SAVITHARANI",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036120073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.120073",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.