CAROLINA SARMENTO DO
NPI 1013583558
Family Medicine in Elgin, IL

Q: What is Carolina Sarmento's NPI number?

The NPI number for Carolina Sarmento is 1013583558. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Q: What is Carolina Sarmento's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Carolina Sarmento was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 03, 2021PECOS EnrolledAccepts Medicare Assignment

1435 N RANDALL RD STE 301, ELGIN, IL 60123(847) 841-7138(847) 841-7138 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2024, Jun 3, 2021 (2 updates tracked since 2021).

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About Carolina Sarmento Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA SARMENTO DO (NPI 1013583558) is an individual family medicine provider in Elgin, Illinois, licensed in Illinois (036167220) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2021).

NPPES Registry Identity

NPI1013583558

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCAROLINA SARMENTOCredential: DO

Location Address1435 N RANDALL RD STE 301Elgin, IL 60123-2304

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757

Phone(847) 841-7138

Fax(847) 841-7138

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2021

Enumeration DateJune 3, 2021

Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1013583558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036167220

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1435 N RANDALL RD STE 301, Elgin, IL 60123

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolina Sarmento Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002219755

PECOS Enrollment IDI20240228004555

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140030

Location1425 North Randall RoadElgin, IL 60123 · Kane County

Emergency services Birthing friendly

Presence Saint Joseph Hospital - Elgin

Acute Care Hospitals · Elgin, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140217

Location77 N Airlite StreetElgin, IL 60123 · Kane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Sarmento's NPI number?

The NPI number for Carolina Sarmento is 1013583558. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Carolina Sarmento located?

Carolina Sarmento practices at 1435 N Randall Rd Ste 301, Elgin, IL 60123. The listed phone number is (847) 841-7138.

What is Carolina Sarmento's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carolina Sarmento enrolled in Medicare?

Yes. Carolina Sarmento is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carolina Sarmento accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Carolina Sarmento as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carolina Sarmento affiliated with any hospitals?

According to CMS data, Carolina Sarmento is affiliated with Advocate Sherman Hospital and Presence Saint Joseph Hospital - Elgin.

When was this NPI record last updated?

The NPPES record for Carolina Sarmento was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.