Organization Active NPI

Satwant Kingra MD SC

  • Internal Medicine Physician
  • Evergreen Park, IL
National Provider Identifier
1861587933
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SATWANT KINGRA MD SC
Practice address
2733 W 87TH St
Evergreen Park, IL 60805-1104
Phone
(708) 424-1153
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Authorized official

Name
Neelu Kingra
Title
Office Manager
Phone
(708) 424-1153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2733 W 87TH St
Evergreen Park, IL 60805-1104

Mailing address

2733 W 87TH St
Evergreen Park, IL 60805-1104
Phone (708) 424-1153

Other identifiers 1

IdentifierTypeStateIssuer
DG3919OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070116000350 IL Part B Supplier - Clinic/Group Practice 0446251565 Receives reassigned benefits from 2 practitioners
Practice locations: Evergreen Park, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1006081Satwant S Kingra MD SC2733 W 87TH Street, Evergreen Park, IL 60805Certificate of waiverNov 5, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBIBCA

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1861587933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 W 87TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051104",
            "telephone_number": "708-424-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 W 87TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051104",
            "telephone_number": "708-424-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATWANT KINGRA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "KINGRA",
        "authorized_official_first_name": "NEELU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-424-1153"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG3919",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.