Active NPI
Sana Jaffery
- Rheumatology Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 036-170536
- Practice address
- 1775 Ballard Rd FL 1
Park Ridge, IL 60068-1005 - Phone
- (847) 318-2400
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Rheumatology Physician | 207RR0500X | 036-170536 | IL | Primary |
Addresses
Primary practice location
1775 Ballard Rd FL 1
Park Ridge, IL 60068-1005
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
22201 Moross Rd Ste 50
Grosse Pointe, MI 48236-2166
Phone (313) 343-7774
Other practice location 2
22201 Moross Rd Suite 50 Detroit
Detroit, MI 48236-4823
Phone (313) 343-3878
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sjaffery405550@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1775 Ballard Rd
Park Ridge, IL 60068-1005
Phone (847) 318-9368
Hospital & facility affiliations
- Advocate Lutheran General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1775 Ballard Rd
Park Ridge, IL 60068
Phone (847) 318-6020
1775 Ballard Rd
Fl 1
Park Ridge, IL 60068
Phone (847) 318-2400
10 N Cumberland Ave
Fl 2
Park Ridge, IL 60068
Interoperability endpoints
- sjaffery405550@direct.myadvocateaurora.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1922569201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 BALLARD RD FL 1",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681005",
"telephone_number": "847-318-2400"
}
],
"practiceLocations": [
{
"address_1": "22201 Moross Rd Ste 50",
"address_purpose": "LOCATION",
"city": "Grosse Pointe",
"state": "MI",
"postal_code": "482362166",
"country_code": "US",
"telephone_number": "313-343-7774",
"fax_number": "313-343-8747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22201 Moross Rd Suite 50 Detroit",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482364823",
"country_code": "US",
"telephone_number": "313-343-3878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAFFERY",
"first_name": "SANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IL",
"license": "036-170536",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sjaffery405550@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1775 Ballard Rd Fl 1",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681005",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1775 Ballard Rd Fl 1",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.
- 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.