Individual provider Active NPI

Peter John Sargon, M.D.

  • Gastroenterology Physician
  • Niles, IL
National Provider Identifier
1790941466
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036124149 Issued in IL
Practice address
7900 N Milwaukee Ave Ste 19
Niles, IL 60714-3239
Phone
(847) 318-9595
Fax
(847) 318-9599
NPI assigned
Aug 1, 2008
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036124149 IL
Gastroenterology Physician 207RG0100X 036124149 IL Primary
Hospitalist Physician 208M00000X 036124149 IL

Addresses

Primary practice location

7900 N Milwaukee Ave Ste 19
Niles, IL 60714-3239

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

1775 W Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-4756

Other identifiers 1

IdentifierTypeStateIssuer
336085474OtherILIL CONT SUBSTANCE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address psargon88219@direct.luhs.org Direct LOYOLA UNIVERSITY MEDICAL CENTER
Direct Messaging Address psargon375341@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20101011000204 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 9335331289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1775 Ballard Rd
Park Ridge, IL 60068-1005
Phone (847) 318-9368

1775 Dempster St
Park Ridge, IL 60068-1143

1775 W Ballard Rd
Geriatrics
Park Ridge, IL 60068-1005
Phone (847) 318-2500

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy71
Upper gastrointestinal (GI) endoscopy for acid reflux218
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036124149ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Best Practices Inpatient Care,LTD Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 31, 2023 Accepting new patients
Best Practices Inpatient Care, LTD. Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 31, 2023 Accepting new patients

Locations

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

106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

7900 N Milwaukee Ave
Ste 19
Niles, IL 60714
Phone (847) 318-9595

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

Interoperability endpoints

  • Direct secure messaging: psargon375341@direct.myadvocateaurora.org

Organizations & group practices 5

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": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1790941466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE STE 19",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143239",
            "telephone_number": "847-318-9595",
            "fax_number": "847-318-9599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 W Dempster St",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681143",
            "country_code": "US",
            "telephone_number": "847-723-4756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARGON",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036124149",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036124149",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036124149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL CONT SUBSTANCE",
            "identifier": "336085474",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psargon88219@direct.luhs.org",
            "affiliation": "Y",
            "affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psargon375341@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7900 N Milwaukee Ave Ste 19",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607143239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7900 N Milwaukee Ave Ste 19",
            "city": "Niles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607143239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.