Individual provider Active NPI

Preethi Sasikumar, M.D.

  • Internal Medicine Physician
  • Hinsdale, IL
National Provider Identifier
1780639062
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036113443 Issued in IL
Practice address
15 Salt Creek LN
Suite 111
Hinsdale, IL 60521-2926
Phone
(630) 371-0133
Fax
(630) 371-0138
NPI assigned
May 24, 2006
Last updated
May 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036113443 IL Primary

Addresses

Primary practice location

15 Salt Creek LN
Suite 111
Hinsdale, IL 60521-2926

Mailing address

15 Salt Creek LN
Suite 111
Hinsdale, IL 60521-2926
Phone (630) 371-0133

Other identifiers 1

IdentifierTypeStateIssuer
036113443MedicaidIL

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
I20051012000110 IL Practitioner - Internal Medicine 5496770190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

1555 N Barrington Rd
Hoffman Estates, IL 60169-1099
Phone (847) 843-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036113443ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Illinois, P.C. Internal Medicine CurrentSince Jan 3, 2019 Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

15 Salt Creek Ln
Ste 111
Hinsdale, IL 60521
Phone (630) 371-0133

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.

Hospital & facility affiliations 2

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1780639062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SALT CREEK LN",
            "address_2": "SUITE 111",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212926",
            "telephone_number": "630-371-0133",
            "fax_number": "630-371-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SALT CREEK LN",
            "address_2": "SUITE 111",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212926",
            "telephone_number": "630-371-0133",
            "fax_number": "630-371-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASIKUMAR",
        "first_name": "PREETHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036113443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113443",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.