Individual provider Active NPI

Sueann Nagpal, M.D.

  • General Practice Physician
  • Joliet, IL
National Provider Identifier
1770660938
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Practice address
211 N Hammes Ave
Joliet, IL 60435-8113
Phone
(815) 744-7300
Fax
(815) 744-1928
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X IL
General Practice Physician 208D00000X IL Primary

Addresses

Primary practice location

211 N Hammes Ave
Joliet, IL 60435-8113

Mailing address

1900 Black Rd
Joliet, IL 60435-3463
Phone (815) 744-7300

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
I20040520000491 IL Practitioner - Pediatric MedicinePractitioner - General Practice 5991796757 Practice locations: Joliet, IL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036045301ILMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1770660938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BLACK RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353463",
            "telephone_number": "815-744-7300",
            "fax_number": "815-744-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358113",
            "telephone_number": "815-744-7300",
            "fax_number": "815-744-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGPAL",
        "first_name": "SUEANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.