Individual provider Active NPI

Marian Rose Sassetti, M.D.

  • Family Medicine Physician
  • Oak Park, IL
National Provider Identifier
1881739753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
1010 Lake St
Suite 500
Oak Park, IL 60301-1147
Phone
(708) 524-8600
Fax
(708) 524-8147
NPI assigned
Feb 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

1010 Lake St
Suite 500
Oak Park, IL 60301-1147

Mailing address

1041 Berkshire St
Oak Park, IL 60302-1369
Phone (708) 947-0826

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
I20041112000617 IL Practitioner - Family Practice 1456314426 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036075846ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Street Family Physicians SC Inc Family Medicine CurrentSince Sep 1, 2004 Accepting new patients
Rush Presbyterian St. Lukes Medical Center Family Medicine Past Accepting new patients
West Suburban Medical Center Family Medicine Past Accepting new patients

Locations

1010 Lake St
Ste 301
Oak Park, IL 60301
Phone (708) 524-8600

1010 Lake St
Ste 500
Oak Park, IL 60301
Phone (708) 524-8600

Interoperability endpoints

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881739753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 BERKSHIRE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021369",
            "telephone_number": "708-947-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST",
            "address_2": "SUITE 500",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011147",
            "telephone_number": "708-524-8600",
            "fax_number": "708-524-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSETTI",
        "first_name": "MARIAN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.