Individual provider Active NPI

Irma Lee Vazquez-Sanabria

  • Rheumatology Physician
  • Springfield, IL
National Provider Identifier
1649421371
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036151648 Issued in IL
Practice address
800 N 1St St
Springfield, IL 62702-3719
Phone
(217) 528-7541
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 51864 SC
Rheumatology Physician 207RR0500X 036151648 IL Primary

Addresses

Primary practice location

800 N 1St St
Springfield, IL 62702-3719

Mailing address

1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541

Other practice location 1

712 Ave Ponce De Leon
Suite B
San Juan, PR 00918-4518
Phone (939) 337-0669

Other practice location 2

1330 Boiling Springs Rd Ste 1700
Spartanburg, SC 29303-4208
Phone (864) 560-6844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, WV, MI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180404002162 SC Practitioner - Rheumatology 8123278413 Reassigns benefits to 1 organization
I20240410004200 NC Practitioner - Rheumatology 8123278413 Reassigns benefits to 1 organization
I20241230000134 WV Practitioner - Rheumatology 8123278413 Reassigns benefits to 1 organization
I20260413002561 MI Practitioner - Rheumatology 8123278413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400

801 Garfield Ave
Suite 100
Parkersburg, WV 26101-5312
Phone (304) 424-4249

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.49 of 100Reported as group
Quality
92.38
Improvement activities
40
Cost
74.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Spartanburg Medical Center Rheumatology CurrentSince Feb 1, 2018 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Sep 25, 2024 Accepting new patients
Carolina Specialty Care, PA CurrentSince Feb 17, 2024 Accepting new patients
Carolina Specialty Care,PA Current Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

1025 S 6th St
Springfield, IL 62703

293 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 872-8711

1330 Boiling Springs Rd
Ste 1540
Spartanburg, SC 29303
Phone (864) 560-2663

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

602 Division St
Parkersburg, WV 26101
Phone (304) 424-4249

801 Garfield Ave
Ste 100
Parkersburg, WV 26101
Phone (304) 424-2170

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: irmavazquez-sanabria@sfc.allscriptsdirect.net

Organizations & group practices 8

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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1649421371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032403",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N 1ST ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023719",
            "telephone_number": "217-528-7541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Ave Ponce De Leon",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009184518",
            "country_code": "US",
            "telephone_number": "939-337-0669",
            "fax_number": "939-337-0185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Boiling Springs Rd Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293034208",
            "country_code": "US",
            "telephone_number": "864-560-6844",
            "fax_number": "864-560-7015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ-SANABRIA",
        "first_name": "IRMA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": "51864",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036151648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.