Active NPI
Sapna S. Rathi, M.D.
- Neurology Physician
- Crystal Lake, IL
National Provider Identifier
1932140472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036087920
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05623778 | Other | IL | BCBS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050204000805 | IL | Practitioner - Neurology | 7719938851 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036087920 | IL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sapna Rathi, M.D, S.C | Current | 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 | Past | 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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Elk Grove, IL
- NPI 1396067302
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Crest Hill, IL
- NPI 1124075288
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1750337077
-
- Neurology Physician
- Schaumburg, IL
- NPI 1669455549
-
- Chiropractor
- Oak Lawn, IL
- NPI 1205220738
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.