Individual provider Active NPI

Sarunas A Skadas, DPT

  • Physical Therapist
  • Burr Ridge, IL
National Provider Identifier
1972854917
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018481 Issued in IL
Practice address
6800 N Frontage Rd
Burr Ridge, IL 60527-7819
Phone
(708) 327-1050
NPI assigned
Oct 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070018481 IL Primary

Addresses

Primary practice location

6800 N Frontage Rd
Burr Ridge, IL 60527-7819

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113002278 IL Practitioner - Physical Therapist in Private Practice 6002229952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expert Pain Physicians LLCGroup PAC ID 9830484849, 5 clinicians

Practice addresses (Care Compare)

16045 S 108TH Ave
Suite C
Orland Park, IL 60476
Phone (708) 981-3901

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
95
Improvement activities
40
Cost
81.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070018481ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Pain Physicians,LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

10750 W 143rd St
Ste 50
Orland Park, IL 60462
Phone (708) 364-1600

16045 108th Ave
Ste C
Orland Park, IL 60467
Phone (630) 209-3349

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1972854917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N FRONTAGE RD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277819",
            "telephone_number": "708-327-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKADAS",
        "first_name": "SARUNAS",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.