Individual provider Active NPI

Sheetal K Decaria, MD

  • Interventional Pain Medicine Physician
  • Glenview, IL
National Provider Identifier
1649569534
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
036126645 Issued in IL
Practice address
2550 Compass Rd Unit Ab
Glenview, IL 60026-1610
Phone
(847) 834-4018
NPI assigned
Mar 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036126645 IL
Interventional Pain Medicine Physician 208VP0014X 036126645 IL Primary

Addresses

Primary practice location

2550 Compass Rd Unit Ab
Glenview, IL 60026-1610

Mailing address

2550 Compass Rd Unit Ab
Glenview, IL 60026-1610
Phone (847) 834-4018

Other practice location 1

355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 834-4018

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
I20130125000108 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 9234383357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2550 Compass Rd
Glenview, IL 60026-1610
Phone (847) 834-4018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revitalize Wellness Center Current Accepting new patients
Revitalize Medical Center LLC Interventional Pain Medicine CurrentSince Aug 14, 2018 Accepting new patients

Locations

355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329

800 Austin St
Ste 466
Evanston, IL 60202
Phone (847) 328-4451

2550 Compass Rd
Ste Ab
Glenview, IL 60026
Phone (847) 802-9608

2550 Compass Rd
Glenview, IL 60026
Phone (847) 834-4018

2550 Compass Rd
Unit Ab
Glenview, IL 60026
Phone (847) 802-9608

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 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": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1649569534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 COMPASS RD UNIT AB",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261610",
            "telephone_number": "847-834-4018",
            "fax_number": "847-834-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 COMPASS RD UNIT AB",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261610",
            "telephone_number": "847-834-4018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602023328",
            "country_code": "US",
            "telephone_number": "847-834-4018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECARIA",
        "first_name": "SHEETAL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036126645",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036126645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.