NPIMap

Individual provider Active NPI

Satwant Kingra, MD

  • Internal Medicine Physician
  • Evergreen Park, IL
National Provider Identifier
1942394499
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036086600 Issued in IL
Practice address
2733 W 87TH St
Evergreen Park, IL 60805-1104
Phone
(708) 424-1153
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036086600 IL Primary

Addresses

Primary practice location

2733 W 87TH St
Evergreen Park, IL 60805-1104

Mailing address

2733 W 87TH St
Evergreen Park, IL 60805-1104
Phone (708) 424-1153

Other identifiers 2

IdentifierTypeStateIssuer
1605563OtherILBLUE CROSS BLUE SHIELD
036086600MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070116000363 IL Practitioner - Internal Medicine 5890796916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2733 W 87TH St
Evergreen Park, IL 60805-1104
Phone (708) 424-1153

Hospital & facility affiliations

  • Moments Hospice of Chicago South LLC Hospice, Willowbrook, IL, CCN 141716
  • Holy Cross Hospital Hospital, Chicago, IL, CCN 140133
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Aperion Care Burbank Nursing home, Burbank, IL, CCN 145913
  • Aperion Care International Nursing home, Chicago, IL, CCN 146001
  • Aliya on 87TH Nursing home, Chicago, IL, CCN 145983
  • Chicago Ridge SNF Nursing home, Chicago Ridge, IL, CCN 145639
  • Warren Barr Oak Lawn Nursing home, Oak Lawn, IL, CCN 145363

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036086600ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Satwant Kingra MD SC Internal Medicine CurrentSince Sep 8, 2006 Accepting new patients

Locations

2733 W 87th St
Evergreen Pk, IL 60805
Phone (708) 424-1153

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBIBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBIBCA/Endpoint/BBIBCA

Organizations & group practices 1

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1942394499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 W 87TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051104",
            "telephone_number": "708-424-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 W 87TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051104",
            "telephone_number": "708-424-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGRA",
        "first_name": "SATWANT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036086600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1605563",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086600",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.