SARAH DUTTA MD
NPI 1083648240
Obstetrics & Gynecology in Bloomington, IL

Q: What is Sarah Dutta's NPI number?

The NPI number for Sarah Dutta is 1083648240. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Sarah Dutta's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Dutta was last updated on November 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment

1701 E COLLEGE AVE, BLOOMINGTON, IL 61704(217) 383-3311 Get Directions Write a Review

NPPES record last updated: November 17, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sarah Dutta Md NPPES

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

SARAH DUTTA MD (NPI 1083648240) is an individual obstetrics & gynecology provider in Bloomington, Illinois, licensed in Illinois (036113555) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Southern Illinois University School Of Medicine (1997).

NPPES Registry Identity

NPI1083648240

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSARAH DUTTACredential: MD

Location Address1701 E COLLEGE AVEBloomington, IL 61704-2101

Mailing Address602 W University AveUrbana, IL 61801-2530 · (217) 383-3311

Phone(217) 383-3311

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1997

Enumeration DateJuly 11, 2006

Last NPPES UpdateNovember 17, 2009

✔ NPI 1083648240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036113555

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1701 E COLLEGE AVE, Bloomington, IL 61704

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Other Identifiers 3

OtherIL2613Medicare Group #

Medicare UPINH39131IL

Medicare PINIL2613019

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

Sarah Dutta 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 ID5193621811

PECOS Enrollment IDI20140421001972

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 2

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

36 services26 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140162

Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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Other Providers at the Same Location NPPES 20

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

MS. MARY CLAIRE BILES PT, MDT

Physical Therapist