Active NPI
Sarada Deshpande, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1730276270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036093798
- Practice address
- 820 S Damen Ave
VA Hospital MC 111
Chicago, IL 60612-3728 - Phone
- (312) 569-7021
- NPI assigned
- Oct 6, 2006
- Last updated
- Dec 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036093798 | IL | Primary |
Addresses
Primary practice location
820 S Damen Ave
VA Hospital MC 111
Chicago, IL 60612-3728
Mailing address
820 S.Damen,
Jesse Brown VA ,MC 111
Chicago, IL 60612
Phone (312) 569-7021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036093798 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1730276270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 S.DAMEN,",
"address_2": "JESSE BROWN VA ,MC 111",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-569-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 S DAMEN AVE",
"address_2": "VA HOSPITAL MC 111",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123728",
"telephone_number": "312-569-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHPANDE",
"first_name": "SARADA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036093798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.