Individual provider Active NPI

Sara Bagherihut, APN-CNP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1992561229
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209029341 Issued in IL
Practice address
3122 N Ashland Ave
Chicago, IL 60657-3014
Phone
(847) 663-8060
Fax
(847) 663-1027
NPI assigned
Feb 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.029341 IL
Nurse Practitioner 363L00000X 209029341 IL Primary

Addresses

Primary practice location

3122 N Ashland Ave
Chicago, IL 60657-3014

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Other practice location 1

3122 N Ashland Ave
Chicago, IL 60657-3014
Phone (847) 663-8060

Other practice location 2

9000 Waukegan Rd Ste 130
Morton Grove, IL 60053-2128
Phone (847) 999-7800

Other practice location 3

9933 Woods Dr
Skokie, IL 60077-1049
Phone (847) 663-8060

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605003708 IL Practitioner - Nurse Practitioner 4183166192 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Dermatology Partners of the North Shore LLCGroup PAC ID 2264427251, 12 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

3122 N Ashland Ave
Chicago, IL 60657-3014
Phone (773) 687-0999

400 Skokie Blvd
Suite 475
Northbrook, IL 60062-7930
Phone (847) 272-4433

4901 Searle Pkwy
Suite 150
Skokie, IL 60077-1057

9977 Woods Dr
Skokie, IL 60077-1057
Phone (847) 663-8062

9977 Woods Dr 2ND Floor
Skokie, IL 60077-1057
Phone (847) 663-8370

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.029341ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Partners of the North Shore LLC CurrentSince Apr 22, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Sep 16, 2025 Accepting new patients
Dupage Psychiatric Care PLLC CurrentSince Apr 27, 2024 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
North Shore Family Plastic Surgery LLC CurrentSince Aug 1, 2024 Accepting new patients
Rangsons Healthcare, PLLC PastSince Apr 27, 2024 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

3122 N Ashland Ave
Chicago, IL 60657
Phone (773) 687-7000

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

120 E Ogden Ave
Ste 101
Hinsdale, IL 60521
Phone (630) 366-7330

9000 Waukegan Rd
Ste 130
Morton Grove, IL 60053
Phone (847) 213-2700

400 Skokie Blvd
Ste 475
Northbrook, IL 60062
Phone (847) 272-4433

1100 Lake St
Ste LL60
Oak Park, IL 60301
Phone (708) 434-4080

9933 Woods Dr
Skokie, IL 60077
Phone (847) 663-8060

Organizations & group practices 6

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1992561229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573014",
            "telephone_number": "847-663-8060",
            "fax_number": "847-663-1027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3122 N Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573014",
            "country_code": "US",
            "telephone_number": "847-663-8060",
            "fax_number": "847-663-1027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 Waukegan Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Morton Grove",
            "state": "IL",
            "postal_code": "600532128",
            "country_code": "US",
            "telephone_number": "847-999-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9933 Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771049",
            "country_code": "US",
            "telephone_number": "847-663-8060",
            "fax_number": "847-663-1027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGHERIHUT",
        "first_name": "SARA",
        "credential": "APN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.029341",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209029341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.