Individual provider Active NPI

Sakeenah G Latifi, PA-C

  • Physician Assistant
  • Bloomingdale, IL
National Provider Identifier
1558950600
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085007508 Issued in IL
Practice address
303 E Army Trail Rd Ste 111
Bloomingdale, IL 60108-2140
Phone
(630) 931-2929
Fax
(833) 731-0578
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085007508 IL Primary

Addresses

Primary practice location

303 E Army Trail Rd Ste 111
Bloomingdale, IL 60108-2140

Mailing address

303 E Army Trail Rd Ste 111
Bloomingdale, IL 60108-2140
Phone (630) 931-2929

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723001671 IL Practitioner - Physician Assistant 1759897069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swan Primary Care PLLCGroup PAC ID 1951717016, 9 clinicians

Practice addresses (Care Compare)

303 E Army Trail Rd
Suite 111
Bloomingdale, IL 60108-2140
Phone (630) 931-2929

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Glenoaks Hospital, Glendale Heights, IL, CCN 140292
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammed Abdul Hadi, MD SC CurrentSince Dec 26, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sakeenah.latifi.1@23850.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23850/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1558950600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 111",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082140",
            "telephone_number": "630-931-2929",
            "fax_number": "833-731-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 111",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082140",
            "telephone_number": "630-931-2929",
            "fax_number": "833-731-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIFI",
        "first_name": "SAKEENAH",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.