DR. AMIT SAPRA M.D.
NPI 1144532573
Family Medicine in Springfield, IL

Q: What is Amit Sapra's NPI number?

The NPI number for Amit Sapra is 1144532573. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Q: What is Amit Sapra'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 Amit Sapra was last updated on April 11, 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 July 14, 2010PECOS EnrolledAccepts Medicare Assignment

520 N 4TH ST, SPRINGFIELD, IL 62702(217) 545-8000(217) 747-1351 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 11, 2024, Dec 9, 2020, Aug 9, 2016 (3 updates tracked since 2016).

On this page

About Dr. Amit Sapra M.d. NPPES

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

DR. AMIT SAPRA M.D. (NPI 1144532573) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (036-140565) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1144532573

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. AMIT SAPRACredential: M.D.

Location Address520 N 4TH STSpringfield, IL 62702-5238

Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000 · Fax (217) 545-8000

Phone(217) 545-8000

Fax(217) 747-1351

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 14, 2010

Last NPPES UpdateApril 11, 20243 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1144532573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036-140565

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.

520 N 4TH ST, Springfield, IL 62702

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1425 E State Ste 100Jacksonville, IL 62650 · Phone (217) 245-5111 · Fax (217) 243-4773

Location 23220 Atlanta StSpringfield, IL 62707-8801 · Phone (217) 545-8000

Location 3109 3rd StLincoln, IL 62656-2604 · Phone (217) 408-1195

Location 4303 E Bidwell StTaylorville, IL 62568-1363 · Phone (217) 824-1134

Other Identifiers 1

Medicaid036140565001IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amit Sapra M.d. 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 ID4688817745

PECOS Enrollment IDI20130821000770, I20160729000204

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.

Medicare Billing Reassignment

Medicare enrollment records show Amit Sapra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of Southern Illinois University

0.7 mi

Primary Care

520 N 4TH ST
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
262 clinicians in this Medicare group

NPI 1396097960 (217) 757-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

170 services51 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

33 services32 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Abraham Lincoln Memorial Hospital

Critical Access Hospitals · Lincoln, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141322

Location200 Stahlhut DriveLincoln, IL 62656 · Logan County

Emergency services

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141352

Location1600 W Walnut StJacksonville, IL 62650 · Morgan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$185.12 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. AMANDA B HENSON LCSW

Social Worker (Clinical)