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DR. SAPNA PATEL VAGHANI MD
NPI 1053502005
Dermatology in Crest Hill, IL

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
2051 PLAINFIELD RD, CREST HILL, IL 60403(815) 741-4343(815) 741-8660 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2021, Feb 1, 2017 (2 updates tracked since 2017).

About Dr. Sapna Patel Vaghani Md NPPES

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

DR. SAPNA PATEL VAGHANI MD (NPI 1053502005) is an individual dermatology provider in Crest Hill, Illinois, licensed in Illinois (036.118998) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1053502005
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. SAPNA PATEL VAGHANICredential: MD
Location Address2051 PLAINFIELD RDCrest Hill, IL 60403-1865
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Phone(815) 741-4343
Fax(815) 741-8660
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 6, 2007
Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
✔ NPI 1053502005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036.118998
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2051 PLAINFIELD RD, Crest Hill, IL 60403
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Other Names 1

Former Name (1)Sapna P. Patel Md

Secondary Practice Locations 3

Location 11890 Silver Cross Blvd Ste 505New Lenox, IL 60451-9596 · Phone (708) 424-0656 · Fax (630) 904-0413
Location 21520 Bond StNaperville, IL 60563-2358 · Phone (630) 357-7536 · Fax (630) 904-0413
Location 32051 Plainfield RdCrest Hill, IL 60403-1865 · Phone (815) 741-4343 · Fax (815) 741-8660

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

Dr. Sapna Patel Vaghani Md 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 ID9931330560
PECOS Enrollment IDI20140325001462
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60403 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
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.38
Promoting Interoperability99
Improvement Activities40
Cost65.82

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE KAZANTSEV M.D.
Dermatology
2051 PLAINFIELD RD
CREST HILL, IL 60403
Will County (815) 741-4343
FOREFRONT DERMATOLOGY, S.C.
Dermatology
2051 PLAINFIELD RD
CREST HILL, IL 60403
Will County (815) 741-4343
MADELINE ROSE ABRAMS PA-C
Physician Assistant
2051 PLAINFIELD RD
CREST HILL, IL 60403
Will County (815) 741-4343
MEGAN T CONNOLLY PA-C
Physician Assistant
2051 PLAINFIELD RD
CREST HILL, IL 60403
Will County (815) 741-4343
GAYLE L MCCLOSKEY MD
Dermatology
2051 PLAINFIELD RD
CREST HILL, IL 60403
Will County (815) 741-4343
MISS MEGAN KATHLEEN CARBAUGH PA-C
Physician Assistant
2051 PLAINFIELD RD
CREST HILL, IL 60403
Will County (815) 741-4343
MATTHEW R KELLEHER MD
Dermatology
2051 PLAINFIELD RD
CREST HILL, IL 60403
Will County (815) 741-4343
CARLY KELLEHER PA-C
Physician Assistant
2051 PLAINFIELD RD
CREST HILL, IL 60403
Will County (815) 741-4343

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 Sapna Vaghani's NPI number?

The NPI number for Sapna Vaghani is 1053502005. It was assigned to this individual provider in the NPPES registry on August 6, 2007. The provider is also known as Sapna P. Patel MD.

Where is Sapna Vaghani located?

Sapna Vaghani practices at 2051 Plainfield Rd, Crest Hill, IL 60403. The listed phone number is (815) 741-4343.

What is Sapna Vaghani's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Sapna Vaghani enrolled in Medicare?

Yes. Sapna Vaghani 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 Sapna Vaghani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sapna Vaghani 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.

When was this NPI record last updated?

The NPPES record for Sapna Vaghani was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.