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SARAH DUTTA, OB-GYN, S.C.
NPI 1275975146
Obstetrics & Gynecology in Bloomington, IL

Active since July 22, 2013CLIA 14D2063164 · Microscopy
107 N REGENCY DR, SUITE 3, BLOOMINGTON, IL 61701(309) 661-0406(309) 661-6446 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sarah Dutta, Ob-gyn, S.c. NPPES

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

SARAH DUTTA, OB-GYN, S.C. (NPI 1275975146) is a healthcare organization registered as an obstetrics & gynecology in Bloomington, Illinois and active in the NPI registry since July 2013. The organization holds a CLIA Microscopy certificate valid through July 28, 2027 and lists Sarah Dutta, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1275975146
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSARAH DUTTA, OB-GYN, S.C.
Location Address107 N REGENCY DR, SUITE 3Bloomington, IL 61701-3505
Mailing Address107 N Regency Dr, Suite 3Bloomington, IL 61701-3505 · (309) 661-0406 · Fax (309) 661-6446
Phone(309) 661-0406
Fax(309) 661-6446
Organization SubpartNo
Authorized OfficialSarah DuttaOwner/president · (309) 661-0406
Enumeration DateJuly 22, 2013
✔ NPI 1275975146 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 · 036-113555
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.
107 N REGENCY DR, Bloomington, IL 61701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Dutta, Ob-gyn, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sarah Dutta, Ob-Gyn, S.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Betsy Aughenbaugh, MSN, FNP-BC
Nurse Practitioner
NPI 1992583165
107 N REGENCY DR
Bloomington, IL 61701
(309) 661-0406
✔ PECOS✔ Accepts Medicare0.2 mi
Sarah Dutta, MD
Obstetrics/Gynecology
NPI 1083648240
1701 E COLLEGE AVE
Bloomington, IL 61704
(217) 383-3311
✔ PECOS✔ Accepts Medicare2.2 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2063164

Sarah Dutta, Ob-Gyn, S C · Bloomington, IL
Active · expires Jul 28, 2027
CLIA Number14D2063164
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorSarah Dutta
Laboratory Phone(309) 661-0406
Laboratory LocationSarah Dutta, Ob-Gyn, S C107 N Regency Dr, Ste 3, Bloomington, IL 61701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Sarah Dutta, Ob-Gyn, S.C.'s NPI number?

The NPI number for Sarah Dutta, Ob-Gyn, S.C. is 1275975146. It was assigned to this organization in the NPPES registry on July 22, 2013.

Where is Sarah Dutta, Ob-Gyn, S.C. located?

Sarah Dutta, Ob-Gyn, S.C. is located at 107 N Regency Dr Suite 3, Bloomington, IL 61701. The listed phone number is (309) 661-0406.

What is Sarah Dutta, Ob-Gyn, S.C.'s specialty?

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

Is Sarah Dutta, Ob-Gyn, S.C. enrolled in Medicare?

Yes. Sarah Dutta, Ob-Gyn, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sarah Dutta, Ob-Gyn, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sarah Dutta, Ob-Gyn, S.C., in Nurse Practitioner and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sarah Dutta, Ob-Gyn, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2063164) is associated with this NPI, valid through July 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sarah Dutta, Ob-Gyn, S.C. was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.