SARA JANE FREDRICKSON (MD) – Surgery Physician, NPI 1922066380

SARA JANE FREDRICKSON (MD) is a healthcare provider. based in Bloomingdale, Illinois. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 036076758 (IL). The NPI Number for SARA JANE FREDRICKSON (MD) is 1922066380

Main info

Female
45 Years Of Experience
Accepts Medicare Assignment
Name
SARA JANE FREDRICKSON (MD)
NPI
1922066380
Phone
(630) 307-7799
Address
473 W Army Trail Rd
Enumeration Date
3 May 2006
Last Update Date
3 January 2018

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
6303077799
Graduation Year
1981 (45 years ago)
PAC ID
8022076272
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20041221000041
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for SARA JANE FREDRICKSON (MD)

  • 473 W Army Trail Rd

    Bloomingdale, IL 601082674

    Phone: (630) 307-7799

    Fax: (630) 307-2277

    Type: Location

  • Northwestern Medicine Central DuPage Hospital, 25, North Winfield Road, Geneva Road, Winfield, DuPage County, Illinois, 60190, United States

    WINFIELD, IL 601901295

    Phone: (630) 307-7799

    Fax: (630) 307-2277

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890696231View full group profile
NameSpecialtyState
RAELENE D KENNEDY KIM (MD)
General SurgeryIL
JOSEPH RAYMOND SCHNEIDER (MD)
Vascular SurgeryIL
DIANA CONSTANZA HENGARTNER (M.D.)
-IL
LUCY P MERONI (APRN, CNP)
Nurse PractitionerIL
DR. ROBERT R RICHARDSON (M.D.)
-IL
DAVID W FLATT (D.C.)
C H I R O P R A C T I CIL
FARHA SAGHIR (DO)
Family PracticeIL
JOSHUA J. WARD (M.D.)
Physical Medicine And RehabilitationCO
JEAN Z MACARY (NP)
-IL
SAAD MOHSIN (MD)
Hospitalist, Family PracticeIL

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Frequently asked questions

How do payers reference SARA JANE FREDRICKSON (MD)?
For SARA JANE FREDRICKSON (MD), use NPI 1922066380 as the unique 10-digit identifier.
Active or inactive — what applies to SARA JANE FREDRICKSON (MD)?
You should see SARA JANE FREDRICKSON (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for SARA JANE FREDRICKSON (MD)?
At a glance, SARA JANE FREDRICKSON (MD) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
Is SARA JANE FREDRICKSON (MD) located near Bloomingdale?
SARA JANE FREDRICKSON (MD) currently maps to Bloomingdale, Illinois in this extract.
When was this NPI issued?
Enumeration for SARA JANE FREDRICKSON (MD) is noted as May 3, 2006 where the registry provides it.

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