Individual provider Active NPI

Dipti Sabharwal, D.O

  • Family Medicine Physician
  • Rockford, IL
National Provider Identifier
1841752532
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036159423 Issued in IL
Practice address
2400 N Rockton Avenue
Rockford, IL 61103
Phone
(815) 971-6331
NPI assigned
Apr 2, 2019
Reactivated
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IL
Family Medicine Physician 207Q00000X 036159423 IL Primary

Addresses

Primary practice location

2400 N Rockton Avenue
Rockford, IL 61103

Mailing address

7702 N. Alpine Rd.
Loves Park, IL 61111
Phone (815) 971-3310

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
I20220727002176 IL Practitioner - Family Practice 0648652321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Marian University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1954 Gateway Ctr Dr
Belvidere, IL 61008-9303
Phone (815) 544-7400

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

  • Osf Healthcare Home Care Home health agency, Loves Park, IL, CCN 147271
  • Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233
  • Uw Health Hospital, Rockford, IL, CCN 140228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036159423ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Aug 1, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Saint Anthony Medical Center CurrentSince May 15, 2023 Accepting new patients
Saint Anthony Medical Center CurrentSince May 15, 2023 Accepting new patients
Saint Anthony Medical Center Past Accepting new patients

Locations

1954 Gateway Center Dr
Belvidere, IL 61008
Phone (815) 544-7400

124 SW Adams St
Fl 2
Peoria, IL 61602
Phone (309) 655-2850

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1841752532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 N. ALPINE RD.",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "61111",
            "telephone_number": "815-971-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ROCKTON AVENUE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61103",
            "telephone_number": "815-971-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABHARWAL",
        "first_name": "DIPTI",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "deactivation_date": "2019-11-07",
        "reactivation_date": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036159423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.