Active NPI
Sapna Jacob, MD
- Adult Medicine Physician
- Libertyville, IL
National Provider Identifier
1447330709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 036125939
- Practice address
- 131 E Park Ave
Suite 103
Libertyville, IL 60048-2800 - Phone
- (847) 327-1434
- Fax
- (847) 573-8570
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L1096 | TX | |
| Adult Medicine Physician | 207QA0505X | 036125939 | IL | Primary |
Addresses
Primary practice location
131 E Park Ave
Suite 103
Libertyville, IL 60048-2800
Mailing address
131 E Park Ave
Suite 103
Libertyville, IL 60048-2800
Phone (847) 327-1434
Other names 1
- Dr. Sapna Jacob
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Family Medicine | Past | Accepting new patients |
| City of Austin | Past | Accepting new patients |
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Austin, TX
- NPI 1083245070
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1447330709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 E PARK AVE",
"address_2": "SUITE 103",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600482800",
"telephone_number": "847-327-1434",
"fax_number": "847-573-8570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 E PARK AVE",
"address_2": "SUITE 103",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600482800",
"telephone_number": "847-327-1434",
"fax_number": "847-573-8570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOB",
"first_name": "SAPNA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L1096",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "IL",
"license": "036125939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAPNA",
"last_name": "JACOB",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.