DR. SARGON BENJAMIN ODISHO D.C.
NPI 1790714061
Chiropractor in Chicago, IL
About Dr. Sargon Benjamin Odisho D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SARGON BENJAMIN ODISHO D.C. (NPI 1790714061) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038010338) and active in the NPI registry since June 2006.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Sargon Benjamin Odisho D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sargon Odisho reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60655
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sargon Odisho's NPI number?
The NPI number for Sargon Odisho is 1790714061. It was assigned to this individual provider in the NPPES registry on June 30, 2006.
Where is Sargon Odisho located?
Sargon Odisho practices at 1360 N Sandburg Ter, Chicago, IL 60610. The listed phone number is (312) 944-4653.
What is Sargon Odisho's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Sargon Odisho enrolled in Medicare?
Yes. Sargon Odisho is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sargon Odisho's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sargon Odisho reassigns Medicare benefits to Heroes Health Care Inc (Chicago, IL). The 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 Sargon Odisho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sargon Odisho was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Sargon Benjamin Odisho, D.C. · NPI 1790714061
Chiropractor provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since June 30, 2006.
## Identity
- **NPI:** 1790714061 (Entity type: Individual)
- **Enumerated:** June 30, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 038010338 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1360 N SANDBURG TER, Chicago, IL 60610-2075
- **Phone:** (312) 944-4653 · **Fax:** (312) 944-0747
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Heroes Health Care Inc (NPI 1932459393, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1790714061) · Data from the CMS NPPES public registry.