Individual provider Active NPI

Vijaya K Sarma, M.D.,

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1952498248
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036099712 Issued in IL
Practice address
8541 S State St
Ste#9
Chicago, IL 60619-5665
Phone
(773) 488-2595
Fax
(774) 783-8561
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 036099712 IL Primary

Addresses

Primary practice location

8541 S State St
Ste#9
Chicago, IL 60619-5665

Mailing address

8541 S State St
Ste#9
Chicago, IL 60619-5665
Phone (773) 488-2595

Other identifiers 1

IdentifierTypeStateIssuer
036099712MedicaidIL

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
I20040317000918 IL Practitioner - Internal Medicine 9931099587

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036099712ILMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952498248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 S STATE ST",
            "address_2": "STE#9",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606195665",
            "telephone_number": "773-488-2595",
            "fax_number": "774-783-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 S STATE ST",
            "address_2": "STE#9",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606195665",
            "telephone_number": "773-488-2595",
            "fax_number": "774-783-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMA",
        "first_name": "VIJAYA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036099712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099712",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.