Active NPI
Satwant Kingra MD SC
- Internal Medicine Physician
- Evergreen Park, IL
National Provider Identifier
1861587933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG3919 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1006081 | Satwant S Kingra MD SC | Certificate of waiver | Nov 5, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Calumet City, IL
- NPI 1336109784
IL
-
- Internal Medicine Physician
- Evergreen Park, IL
- NPI 1942394499
IL, Internal Medicine
-
- Adult Health Nurse Practitioner
- Huntley, IL
- NPI 1770532772
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.