Organization Active NPI

Dr Sarah E Hagarty, LLC

  • Plastic Surgery Physician
  • Rockford, IL
National Provider Identifier
1609462910
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
DR SARAH E HAGARTY, LLC
Practice address
7117 Crimson Ridge Dr Ste 3
Rockford, IL 61107-6213
Phone
(815) 965-6644
Fax
(815) 977-4016
NPI assigned
Dec 21, 2020
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Dr. Sarah E Hagarty, MDNPI 1790894897
Title
Owner
Phone
(773) 405-1479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

7117 Crimson Ridge Dr Ste 3
Rockford, IL 61107-6213

Mailing address

7117 Crimson Ridge Dr Ste 3
Rockford, IL 61107-6213
Phone (815) 965-6644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224002072 IL Part B Supplier - Clinic/Group Practice 3274948211 Receives reassigned benefits from 1 practitioner
Practice locations: Rockford, IL

National Provider Directory

National Provider Directory

Locations

1235 N Mulford Rd
Ste 200
Rockford, IL 61107
Phone (815) 484-6300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1609462910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 CRIMSON RIDGE DR STE 3",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076213",
            "telephone_number": "815-965-6644",
            "fax_number": "815-965-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 CRIMSON RIDGE DR STE 3",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076213",
            "telephone_number": "815-965-6644",
            "fax_number": "815-977-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SARAH E HAGARTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "HAGARTY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-405-1479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.