Individual provider Active NPI

Mehmet Sipahi, MD

  • Medical Oncology Physician
  • Bourbonnais, IL
National Provider Identifier
1467556837
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
036070341 Issued in IL
Practice address
200 Riverside Dr
Bourbonnais, IL 60914-4689
Phone
(815) 933-9660
Fax
(815) 929-0014
NPI assigned
Sep 7, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 036070341 IL Primary

Addresses

Primary practice location

200 Riverside Dr
Bourbonnais, IL 60914-4689

Mailing address

200 Riverside Dr
Bourbonnais, IL 60914-4689
Phone (815) 933-9660

Other practice location 1

1490 E Walnut St Ste A
Watseka, IL 60970-1806
Phone (815) 432-0250

Other identifiers 1

IdentifierTypeStateIssuer
036070341MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msipahi8444@Direct.riversidehealthcare.net Direct

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
I20041119001134 IL Practitioner - Medical OncologyPractitioner - HematologyPractitioner - Hematology/Oncology 5395706584 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System CurrentSince Jan 1, 2018 Accepting new patients
Riverside Health System CurrentSince Jan 1, 2018 Accepting new patients
Riverside Medical Center Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Riverside Corporate Health Services Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Riverside Medical Center Past Accepting new patients
Riverside Medical Center Past Accepting new patients

Locations

300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666

375 N Wall St
Ste P320
Kankakee, IL 60901
Phone (815) 928-5064

1490 E Walnut St
Ste A
Watseka, IL 60970
Phone (815) 432-7693

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Interoperability endpoints

  • Direct secure messaging: msipahi@riversidehealthcare.direct.varian.com
  • Direct secure messaging: msipahi8444@direct.riversidehealthcare.net

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1467556837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVERSIDE DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144689",
            "telephone_number": "815-933-9660",
            "fax_number": "815-929-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIVERSIDE DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144689",
            "telephone_number": "815-933-9660",
            "fax_number": "815-929-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 E Walnut St Ste A",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701806",
            "country_code": "US",
            "telephone_number": "815-432-0250",
            "fax_number": "815-432-5217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPAHI",
        "first_name": "MEHMET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036070341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070341",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msipahi8444@Direct.riversidehealthcare.net",
            "affiliation": "N",
            "endpointDescription": "Direct, Secure Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Riverside Dr",
            "city": "Bourbonnais",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609144689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.