Individual provider Active NPI

Saachi Nangia, MD

  • Pediatrics Physician
  • Lawrenceville, IL
National Provider Identifier
1497337968
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.169960 Issued in IL
Practice address
2111 Lexington Ave Ste 2
Lawrenceville, IL 62439-2085
Phone
(618) 943-7214
Fax
(618) 943-3611
NPI assigned
Apr 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 036.169960 IL Primary

Addresses

Primary practice location

2111 Lexington Ave Ste 2
Lawrenceville, IL 62439-2085

Mailing address

2111 Lexington Ave Ste 2
Lawrenceville, IL 62439-2085
Phone (618) 943-7214

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
I20240722003271 IL Practitioner - Pediatric Medicine 2769888155 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.169960ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence County Memorial Hospital CurrentSince Jul 15, 2024 Accepting new patients
Associated Pathologists, LLC Current Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients

Locations

2111 Lexington Ave
Lawrenceville, IL 62439
Phone (618) 943-6202

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

2111 Lexington Ave
Ste 2
Lawrenceville, IL 62439
Phone (618) 943-7214

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1497337968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 LEXINGTON AVE STE 2",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392085",
            "telephone_number": "618-943-7214",
            "fax_number": "618-943-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 LEXINGTON AVE STE 2",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392085",
            "telephone_number": "618-943-7214",
            "fax_number": "618-943-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANGIA",
        "first_name": "SAACHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-24",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.169960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, IL

Sources for this page

Verify at the official NPI Registry.