Individual provider Active NPI

Tripat Sahajpal, M.D.

  • Pediatrics Physician
  • Oak Lawn, IL
National Provider Identifier
1942267604
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036064314 Issued in IL
Practice address
4861 W 95TH St
Oak Lawn, IL 60453-2521
Phone
(708) 425-9096
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036064314 IL Primary

Addresses

Primary practice location

4861 W 95TH St
Oak Lawn, IL 60453-2521

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-2521
Phone (630) 469-2000

Other identifiers 1

IdentifierTypeStateIssuer
036064314MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tsahajpal188754@direct.edward.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036064314ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Physicians Group LTD Current Accepting new patients
Southwest Physicians Group-HMO Site Current Accepting new patients

Locations

4861 W 95th St
Oak Lawn, IL 60453
Phone (708) 423-2880

Interoperability endpoints

  • Direct secure messaging: tsahajpal188754@direct.edward.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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1942267604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742521",
            "telephone_number": "630-469-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532521",
            "telephone_number": "708-425-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAJPAL",
        "first_name": "TRIPAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036064314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064314",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsahajpal188754@direct.edward.org",
            "affiliation": "N",
            "address_1": "4861 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.