Sajoy Purathumuriyil Varghese, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

125053871 Issued in IL

Practice address

4048 W Columbia Ave
Lincolnwood, IL 60712-3502

Phone

(847) 412-8367

NPI assigned

Aug 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northwestern Memorial Hospital

  • Psychiatric Hospital
  • Chicago, IL
  • NPI 1437315017
  NPD (past) Authorized official
• Bonaventure Medical Foundation, LLC

  • Family Medicine Physician
  • Elk Grove Village, IL
  • NPI 1588775647
  NPD
• Presence Healthcare Services

  • Internal Medicine Physician
  • Bolingbrook, IL
  • NPI 1043748338
  NPD
• Presence Healthcare Services

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1114201761
  NPD
• Presence Healthcare Services

  • Multi-Specialty Clinic/Center
  • Elk Grove Village, IL
  • NPI 1356727127
  NPD
• Presence Healthcare Services

  • Multi-Specialty Clinic/Center
  • Elk Grove Village, IL
  • NPI 1932216819
  NPD

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1902053077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 W COLUMBIA AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123502",
            "telephone_number": "847-412-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 W COLUMBIA AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123502",
            "telephone_number": "847-412-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "SAJOY",
        "middle_name": "PURATHUMURIYIL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125053871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaccine Clinics SC
• Michael Vaewhongs, M.D.
• Vanguard Behavioral Health
• Marley Vargas
• Nina J Vargas
• Darell Velasco
• Keri Gillmore Vietti, PT, MS
• Village of Lincolnwood
• Stacey Villalobos
• Gabriella Frances Vinciguerra

• Psychiatry Physician in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.