Organization Active NPI

Sifatur R Sayeed MDSC

  • Internal Medicine Physician
  • Aurora, IL
National Provider Identifier
1417077546
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SIFATUR R SAYEED MDSC
Practice address
1300 N Highland Ave Ste 4a
Aurora, IL 60506-1464
Phone
(630) 844-6600
Fax
(630) 844-6611
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Sadna Mohan
Title
President
Phone
(630) 904-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1300 N Highland Ave Ste 4a
Aurora, IL 60506-1464

Mailing address

1300 N Highland Ave Ste 4a
Aurora, IL 60506-1464
Phone (630) 844-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050503000105 IL Part B Supplier - Clinic/Group Practice 5698714202 Receives reassigned benefits from 3 practitioners
Practice locations: Aurora, IL

National Provider Directory

National Provider Directory

Locations

1300 N Highland Ave
Ste 4A
Aurora, IL 60506
Phone (630) 844-6600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1417077546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N HIGHLAND AVE STE 4A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061464",
            "telephone_number": "630-844-6600",
            "fax_number": "630-844-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N HIGHLAND AVE STE 4A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061464",
            "telephone_number": "630-844-6600",
            "fax_number": "630-844-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIFATUR R SAYEED MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "SADNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-904-7200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.