Varsha Sambare, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036102599 Issued in IL

Practice address

485 S Weber Rd
Bolingbrook, IL 60490-5504

Phone

(630) 378-2000

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Datta Sambare M D S CGroup PAC ID 9234199845, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: varsha.sambare.1@14522.direct.athenahealth.com

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.

• Datta Sambare M D S C

  dba Brookville Medical Center

  • Family Medicine Physician
  • Bolingbrook, IL
  • NPI 1780606566
  Medicare reassignment Care Compare group NPD
• Datta Sambare MD SC

  dba North Forest Medical Associates

  • Primary Care Clinic/Center
  • Oak Park, IL
  • NPI 1790115517
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Bolingbrook Hospital

  dba Adventhealth Bolingbrook

  • General Acute Care Hospital
  • Bolingbrook, IL
  • NPI 1164530465
  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1497775233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605590215",
            "telephone_number": "630-378-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905504",
            "telephone_number": "630-378-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBARE",
        "first_name": "VARSHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036102599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102599",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fatima Saifuddin, M.D
• Sarah Sajewski, PT, DPT
• Sally Salazar
• Khizra Saleem, LSW
• Scott M Sallin, PT
• Nooshin Sanaei, DMD
• Paulina Sanchez-Santillan, MS CCC-SLP/L
• Ama Sanders, RN
• Sandra Carlson & Associates
• Sharon Santora

• Family Medicine Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.