Individual provider Active NPI

Sapna S. Rathi, M.D.

  • Neurology Physician
  • Crystal Lake, IL
National Provider Identifier
1932140472
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036087920 Issued in IL
Practice address
1 S Virginia St
Crystal Lake, IL 60014-5826
Phone
(815) 356-9371
Fax
(815) 356-9428
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036087920 IL
Neurology Physician 2084N0400X 036087920 IL Primary

Addresses

Primary practice location

1 S Virginia St
Crystal Lake, IL 60014-5826

Mailing address

1 S Virginia St
Crystal Lake, IL 60014-5826
Phone (815) 356-9371

Other identifiers 1

IdentifierTypeStateIssuer
05623778OtherILBCBS

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
I20050204000805 IL Practitioner - Neurology 7719938851

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036087920ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sapna Rathi, M.D, S.C CurrentSince Jul 24, 1996 Accepting new patients
Advanced Physicians, S.C. Physical Medicine & Rehabilitation Past Accepting new patients
Carey B Dachman MDSC Neurology Past Accepting new patients
Jessica Petersen DC LTD PastSince Sep 28, 2015 Accepting new patients
Advanced Physicians, S.C. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

800 Biesterfield Rd
Ste 535
Elk Grove Vlg, IL 60007
Phone (847) 290-0921

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1932140472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145826",
            "telephone_number": "815-356-9371",
            "fax_number": "815-356-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145826",
            "telephone_number": "815-356-9371",
            "fax_number": "815-356-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHI",
        "first_name": "SAPNA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036087920",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036087920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05623778",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.