Organization Active NPI

Sheth Dermatology, P.C.

  • Dermatology Physician
  • Orland Park, IL
National Provider Identifier
1922482090
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036-127274 Issued in IL
Legal business name
SHETH DERMATOLOGY, P.C.
Practice address
9131 W 151St St
Orland Park, IL 60462-3202
Phone
(515) 835-7535
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Dr. Seema Sahai Sheth, M.D.NPI 1053519595
Title
M.D. / Owner
Phone
(515) 835-7535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 036-127274 IL Primary

Addresses

Primary practice location

9131 W 151St St
Orland Park, IL 60462-3202

Mailing address

9131 W 151St St
Orland Park, IL 60462-3202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160217001919 IL Part B Supplier - Clinic/Group Practice 3870898570 Receives reassigned benefits from 3 practitioners
Practice locations: Orland Park, IL

National Provider Directory

National Provider Directory

Locations

124 Ogden Ave
Downers Grove, IL 60515

9131 W 151st St
Orland Park, IL 60462
Phone (515) 835-7535

Practitioners & affiliated clinicians

Practitioners 5

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": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1922482090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 W 151ST ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 W 151ST ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623202",
            "telephone_number": "515-835-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHETH DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_middle_name": "SAHAI",
        "authorized_official_title_or_position": "M.D. / OWNER",
        "authorized_official_telephone_number": "515-835-7535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-127274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.