Individual provider Active NPI

Chaden Sbai, M.D.

  • Internal Medicine Physician
  • Tinley Park, IL
National Provider Identifier
1992704100
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036108021 Issued in IL
Practice address
6703 159TH St
Suite 105
Tinley Park, IL 60477-1781
Phone
(708) 444-8593
Fax
(708) 444-2673
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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 036108021 IL Primary

Addresses

Primary practice location

6703 159TH St
Suite 105
Tinley Park, IL 60477-1781

Mailing address

6703 159TH St
Ste 105
Tinley Park, IL 60477-1782
Phone (708) 444-8593

Other identifiers 1

IdentifierTypeStateIssuer
036108021MedicaidIL

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
I20040312001059 IL Practitioner - Internal MedicinePractitioner - Psychiatry 4981593332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6703 159TH St
Suite 105
Tinley Park, IL 60477-1782
Phone (708) 444-8593

Hospital & facility affiliations

  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191
  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036108021ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chaden Sbai MD SC Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients
Ibrahim MD SC Internal Medicine PastSince Jan 1, 2003 Accepting new patients

Locations

Dept 4902
Carol Stream, IL 60122

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

6703 159th St
Ste 105
Tinley Park, IL 60477
Phone (708) 342-1541

Interoperability endpoints

  • Direct secure messaging: csbaimd237140@uchospital.direct-ci.com

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.

Hospital & facility affiliations 2

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1992704100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 159TH ST",
            "address_2": "STE 105",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771782",
            "telephone_number": "708-444-8593",
            "fax_number": "708-444-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 159TH ST",
            "address_2": "SUITE 105",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771781",
            "telephone_number": "708-444-8593",
            "fax_number": "708-444-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SBAI",
        "first_name": "CHADEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036108021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108021",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.