Individual provider Active NPI

Sara Jessica Keiler, MD

  • Infectious Disease Physician
  • Chicago, IL
National Provider Identifier
1578618286
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036.144659 Issued in IL
Practice address
2740 W Foster Ave Ste 401
Chicago, IL 60625-3591
Phone
(773) 907-3400
Fax
(773) 907-0341
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A95566 CA
Infectious Disease Physician 207RI0200X 01079261A IN
Infectious Disease Physician 207RI0200X 35099974 OH
Infectious Disease Physician 207RI0200X 036.144659 IL Primary

Addresses

Primary practice location

2740 W Foster Ave Ste 401
Chicago, IL 60625-3591

Mailing address

2740 W Foster Ave Ste 401
Chicago, IL 60625-3591
Phone (773) 907-3400

Other identifiers 1

IdentifierTypeStateIssuer
0103068MedicaidOH

Other names 1

  • Sara Jessica Becker Former name

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
I20180522001559 IL Practitioner - Infectious DiseasePractitioner - Internal Medicine 9133342496 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of South Florida College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Consultants, LTD.Group PAC ID 1557435070, 7 clinicians

Practice addresses (Care Compare)

2740 W Foster Ave
Suite 401
Chicago, IL 60625-3591
Phone (773) 907-3400

Hospital & facility affiliations

  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95566CAMDInternal Medicine Physician
036.144659ILMDInfectious Disease Physician
01079261AINMDInfectious Disease Physician
35099974OHMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Infectious Disease Consultants, LTD. Infectious Disease CurrentSince Oct 1, 2018 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Jul 16, 2018 Accepting new patients

Locations

2740 W Foster Ave
Ste 401
Chicago, IL 60625
Phone (773) 907-3060

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

698 Featherstone Rd
Rockford, IL 61107
Phone (815) 398-3277

Organizations & group practices 3

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 1

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1578618286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253591",
            "telephone_number": "773-907-3400",
            "fax_number": "773-907-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253591",
            "telephone_number": "773-907-3400",
            "fax_number": "773-907-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEILER",
        "first_name": "SARA",
        "middle_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A95566",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01079261A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35099974",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036.144659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103068",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BECKER",
            "middle_name": "JESSICA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.