Individual provider Active NPI

Elias R. Sabbagha, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1578622809
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-076140 Issued in IL
Practice address
106 E Oak St FL 3
Chicago, IL 60611-1230
Phone
(312) 482-8484
Fax
(312) 482-9977
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-076140 IL Primary

Addresses

Primary practice location

106 E Oak St FL 3
Chicago, IL 60611-1230

Mailing address

PO Box 4895
Oak Brook, IL 60522-4895
Phone (312) 482-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 23, 2016 through Sep 23, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-076140ILMDObstetrics & Gynecology Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJEIBA/Endpoint/CJEIBA

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1578622809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4895",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605224895",
            "telephone_number": "312-482-8484",
            "fax_number": "312-482-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E OAK ST FL 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111230",
            "telephone_number": "312-482-8484",
            "fax_number": "312-482-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBAGHA",
        "first_name": "ELIAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-076140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.