Individual provider Active NPI

Sunavo Dasgupta, MD

  • Pain Medicine (Anesthesiology) Physician
  • Schaumburg, IL
National Provider Identifier
1750442422
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
C171447 Issued in CA
Practice address
1365 Wiley Road
Suite 153
Schaumburg, IL 60173-4357
Phone
(847) 519-4701
Fax
(847) 519-4707
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036122789 IL
Anesthesiology Physician 207L00000X MT186102 PA
Pain Medicine (Anesthesiology) Physician 207LP2900X 036122789 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X C171447 CA Primary

Addresses

Primary practice location

1365 Wiley Road
Suite 153
Schaumburg, IL 60173-4357

Mailing address

1365 Wiley Road
Suite 153
Schaumburg, IL 60173-4357
Phone (847) 519-4701

Other identifiers 1

IdentifierTypeStateIssuer
036122789MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 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
I20090914000531 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 6608922869 Reassigns benefits to 1 organization
I20221129002488 CA Practitioner - Pain Management 6608922869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Medical College of Wisconsin, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

Hospital & facility affiliations

  • Highland Hospital Hospital, Oakland, CA, CCN 050320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT186102PAMDAnesthesiology Physician
C171447CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Orthopedics & Sports Medicine LLC CurrentSince Aug 17, 2020 Accepting new patients
Alameda Health System CurrentSince Oct 31, 2022 Accepting new patients
Alameda Health System CurrentSince Oct 31, 2022 Accepting new patients
Alexian Brothers Medical Center Past Accepting new patients
Alameda Health System Past Accepting new patients
River North Anesthesia Consultants ,S.C. Past Accepting new patients
Gottlieb Community Health Services Corporation Past Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
Lawrence County Memorial Hospital Past Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

555 Biesterfield Rd
Elk Grove Vlg, IL 60007
Phone (847) 690-1776

2380 Lakewood Blvd
Hoffman Estates, IL 60192
Phone (847) 690-1776

Interoperability endpoints

  • Direct secure messaging: sdasgupta98804@alamedahs.direct-ci.com

Organizations & group practices 10

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 3

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1750442422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 WILEY ROAD",
            "address_2": "SUITE 153",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734357",
            "telephone_number": "847-519-4701",
            "fax_number": "847-519-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WILEY ROAD",
            "address_2": "SUITE 153",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734357",
            "telephone_number": "847-519-4701",
            "fax_number": "847-519-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASGUPTA",
        "first_name": "SUNAVO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036122789",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT186102",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036122789",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "C171447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036122789",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.