Active NPI
Sarthak Kulshreshtha, M.D.
- Family Medicine Physician
- Rockford, IL
National Provider Identifier
1801587159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036179844
- Practice address
- 1221 E State St
Rockford, IL 61104 - Phone
- (815) 972-1000
- NPI assigned
- May 17, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036179844 | IL | Primary |
Addresses
Primary practice location
1221 E State St
Rockford, IL 61104
Mailing address
Mile Square LP Johnson Center 1221 E. State St.
Rockford, IL 61104
Phone (815) 972-1037
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231110000897 | IL | Order and Referring Only - Family Practice | 4385091446 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4100 International PLZ
Fort Worth, TX 76109-4800
4100 International PLZ
Suite 800
Fort Worth, TX 76109-4839
PO Box
Suite 742995
Los Angeles, CA 90074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- skulshreshtha150818@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1801587159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MILE SQUARE LP JOHNSON CENTER 1221 E. STATE ST.",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61104",
"telephone_number": "815-972-1037",
"fax_number": "815-972-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61104",
"telephone_number": "815-972-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULSHRESHTHA",
"first_name": "SARTHAK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-17",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036179844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.