NPIMap

Individual provider Active NPI

Sabrina Fanapour, DO

  • Family Medicine Physician
  • North Riverside, IL
National Provider Identifier
1386965051
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036132381 Issued in IL
Practice address
7503 W Cermak Rd
North Riverside, IL 60546-1405
Phone
(708) 442-0333
NPI assigned
Jun 17, 2010
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036132381 IL Primary

Addresses

Primary practice location

7503 W Cermak Rd
North Riverside, IL 60546-1405

Mailing address

7503 W Cermak Rd
North Riverside, IL 60546-1405
Phone (708) 442-0333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sabrina.fanapour.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140508001111 IL Practitioner - Family Practice 9436382843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Bolingbrook, IL 60440-4311

7503 W Cermak Rd
North Riverside, IL 60546-1405
Phone (708) 442-0333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036132381ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Adventist Health Partners, Inc Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners,Inc Family Medicine Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

911 N Elm St
Ste 301
Hinsdale, IL 60521
Phone (630) 856-8650

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

105 E Burlington St
Ste C
Riverside, IL 60546
Phone (708) 442-0333

7503 W Cermak Rd
Riverside, IL 60546
Phone (708) 447-3269

Interoperability endpoints

  • Direct secure messaging: sabrina.fanapour.1@380.direct.athenahealth.com
  • Direct secure messaging: sfanapour1240685@adventhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1386965051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 W CERMAK RD",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461405",
            "telephone_number": "708-442-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 W CERMAK RD",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461405",
            "telephone_number": "708-442-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANAPOUR",
        "first_name": "SABRINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036132381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sabrina.fanapour.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "7503 W Cermak Rd",
            "city": "North Riverside",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605461405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Riverside, IL

Sources for this page

Verify at the official NPI Registry.