Individual provider Active NPI

Sara Eileen Tranchina, M.D.

  • Family Medicine Physician
  • Waukegan, IL
National Provider Identifier
1659371276
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036143344 Issued in IL
Practice address
2323 Grand Ave
Waukegan, IL 60085-3312
Phone
(476) 668-3494
Fax
(855) 225-3022
NPI assigned
Jul 26, 2005
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036143344 IL Primary
Family Medicine Physician 207Q00000X J0317 TX

Addresses

Primary practice location

2323 Grand Ave
Waukegan, IL 60085-3312

Mailing address

530 N Lake Shore Dr Apt 2401
Chicago, IL 60611-7435
Phone (214) 356-1849

Other identifiers 1

IdentifierTypeStateIssuer
036.143344OtherILSTATE OF ILLINOIS DEPT OF FINANCIAL & PROFESSIONAL REGULATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050107000613 TX Practitioner - Family Practice 7012965866 Practice locations: Dallas, TX
I20181210000204 IL Practitioner - Family Practice 7012965866 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036143344ILMDFamily Medicine Physician
J0317TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Family Health Center, Inc CurrentSince Dec 10, 2018 Accepting new patients
Erie Family Health Center Inc CurrentSince Dec 10, 2018 Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients

Locations

1504 S Albany Ave
Chicago, IL 60623

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-2056

2323 Grand Ave
Waukegan, IL 60085
Phone (847) 666-2427

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1659371276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N LAKE SHORE DR APT 2401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117435",
            "telephone_number": "214-356-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600853312",
            "telephone_number": "476-668-3494",
            "fax_number": "855-225-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANCHINA",
        "first_name": "SARA",
        "middle_name": "EILEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036143344",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J0317",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS DEPT OF FINANCIAL & PROFESSIONAL REGULATION",
            "identifier": "036.143344",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.