Active NPI
Sara Verghese, MD
- Pediatrics Physician
- Westchester, IL
National Provider Identifier
1790841732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036094498
- Practice address
- 9902 West Roosevelt Road
West Chester, IL 60154-2770 - Phone
- (708) 343-4628
- Fax
- (708) 343-4632
- NPI assigned
- Dec 27, 2006
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036094498 | IL | Primary |
Addresses
Primary practice location
9902 West Roosevelt Road
West Chester, IL 60154-2770
Mailing address
1516 Willowcreek Lane
Darien, IL 60561
Phone (708) 343-4620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01626666 | Other | IL | BCBS PUR INSURANCE |
| 036094498 | Medicaid | IL |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036094498 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Pediatric Care, Inc | Past | Accepting new patients |
Interoperability endpoints
- sverghese4451@direct.rush.rush-health.com
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Westchester, IL
- NPI 1770756942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1790841732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 WILLOWCREEK LANE",
"city": "DARIEN",
"state": "IL",
"postal_code": "60561",
"telephone_number": "708-343-4620",
"fax_number": "708-343-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9902 WEST ROOSEVELT ROAD",
"city": "WEST CHESTER",
"state": "IL",
"postal_code": "601542770",
"telephone_number": "708-343-4628",
"fax_number": "708-343-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGHESE",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036094498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PUR INSURANCE",
"identifier": "01626666",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036094498",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.