NPIMap

Individual provider Active NPI

Jagdeep Sabharwal, MD

  • Cardiovascular Disease Physician
  • Appleton, WI
National Provider Identifier
1871518282
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
62102-20 Issued in WI
Practice address
1818 N Meade St
Appleton, WI 54911-3454
Phone
(920) 731-8900
NPI assigned
Jul 13, 2006
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 36096670 IL
Cardiovascular Disease Physician 207RC0000X 01073485A IN
Cardiovascular Disease Physician 207RC0000X 62102-20 WI Primary
Interventional Cardiology Physician 207RI0011X 36096670 IL
Interventional Cardiology Physician 207RI0011X 036096670 IL
Interventional Cardiology Physician 207RI0011X 01073485A IN
Nuclear Cardiology Physician 207UN0901X 36096670 IL
Body Imaging Physician 2085B0100X 36096670 IL
Vascular & Interventional Radiology Physician 2085R0204X 36096670 IL
Diagnostic Ultrasound Physician 2085U0001X 36096670 IL

Addresses

Primary practice location

1818 N Meade St
Appleton, WI 54911-3454

Mailing address

4665 Hastings Dr
Brookfield, WI 53045-8158

Other practice location 1

12255 S 80th Ave Ste 205
Palos Heights, IL 60463-1284
Phone (708) 923-4200

Other practice location 2

1000 Mineral Point Ave
Janesville, WI 53548-2982
Phone (608) 756-6868

Other practice location 3

15300 West Ave Ste 23
Orland Park, IL 60462-4504
Phone (708) 923-4200

Other identifiers 1

IdentifierTypeStateIssuer
036096670MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160829001817 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 9739187881 Reassigns benefits to 4 organizations
I20200713003290 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9739187881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Practice addresses (Care Compare)

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645

2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2011

700 W Ave S
La Crosse, WI 54601-4783
Phone (608) 785-0940

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62102-20WIMDCardiovascular Disease Physician
36096670ILMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Vascular & Interventional Radiology CurrentSince Aug 1, 2021 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Thedacare, Incorporated CurrentSince Oct 26, 2023 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Dec 2, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 6, 2023 Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. CurrentSince Mar 6, 2026 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 6, 2023 Accepting new patients
Central Dupage Physician Group CurrentSince Aug 1, 2021 Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. CurrentSince Mar 6, 2026 Accepting new patients
Thedacare Medical Center - Shawano, Inc. Past Accepting new patients
Rockford Cardiology Associates, LTD Cardiovascular Disease Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

15300 West Ave
Ste 23
Orland Park, IL 60462
Phone (708) 576-8150

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

12251 S 80th Ave
Ste 1630
Palos Heights, IL 60463
Phone (708) 923-5173

12255 S 80th Ave
Ste 205
Palos Heights, IL 60463
Phone (708) 923-4200

1850 Gateway Dr
Sycamore, IL 60178
Phone (815) 217-3252

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

310 W Main St
Sparta, WI 54656
Phone (608) 269-1700

Interoperability endpoints

  • Direct secure messaging: jsabharwal335154@direct.thedacare.org
  • Direct secure messaging: jsabharwal846882@direct.froedtert.com

Organizations & group practices 11

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1871518282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 HASTINGS DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530458158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N MEADE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113454",
            "telephone_number": "920-731-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12255 S 80th Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631284",
            "country_code": "US",
            "telephone_number": "708-923-4200",
            "fax_number": "708-923-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Mineral Point Ave",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535482982",
            "country_code": "US",
            "telephone_number": "608-756-6868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15300 West Ave Ste 23",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604624504",
            "country_code": "US",
            "telephone_number": "708-923-4200",
            "fax_number": "708-923-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABHARWAL",
        "first_name": "JAGDEEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "36096670",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01073485A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "62102-20",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "36096670",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036096670",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01073485A",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IL",
            "license": "36096670",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "IL",
            "license": "36096670",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "36096670",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "IL",
            "license": "36096670",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096670",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.