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Dr. Sandra M Ndiaye , DO

Pediatrics β€’ New Lenox, IL

Active NPI 1215236963 Individual Practitioner Female Practitioner
Practice location in NPPES

1900 Silver Cross Blvd
New Lenox, IL 604519509

Call 8153001100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1900 Silver Cross Blvd

New Lenox, IL 604519509

Telephone 8153001100
Fax 8153007049
Organization at the Same NPPES Address or Phone
Advanced Midwest Radiology S C Facility NPI 1013965326

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Chicago, IL; Crown Point, IN; Winfield, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ndiaye has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Ndiaye as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in New Lenox and Illinois

5 active clinicians are listed under Pediatrics with a practice address in New Lenox, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-07
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 036134339

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospitalist

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES IN 02007537A

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - HOSPITALIST

Medicare Enrollment ID

I20240513002663

Enrollment State Jurisdiction

IN

PECOS Control ID

7012358732

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

25 N Winfield Rd

Winfield, IL 601901222

Phone: 6309331600

1044 N Francisco Ave

Chicago, IL 606222743

Phone: 7732928200

12750 Saint Francis Dr

Crown Point, IN 463070264

Phone: 2197576005

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

16 listed
Dr. Wakas Ahmad , DO

Internal Medicine

NPI 1447446521

Doctor of Osteopathic Medicine (D.O.)

Dr. Imran Akhtar , DO

Internal Medicine

NPI 1063917946

Doctor of Osteopathic Medicine (D.O.)

NPI 1699040774

Doctor of Medicine (M.D.)

Taylor Baldermann

Nurse Practitioner - Family

NPI 1376177220
Dr. William Bremer , MD

Radiology - Diagnostic Radiology

NPI 1770960007

Doctor of Medicine (M.D.)

Dr. Simona Chivu , MD

Internal Medicine - Hematology & Oncology

NPI 1942416235

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2024

Hospitalist (license number reported to NPPES: IN 02007537A)

πŸ“
Updated Practice Location April 21, 2020

Registered at 1900 SILVER CROSS BLVD, NEW LENOX, IL 604519509 (Tel: 8153001100)

βœ…
NPI Profile Active February 20, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 20, 2017

Registered at 1900 SILVER CROSS BLVD, PEDIATRICS OFFICE #3116, NEW LENOX, IL 604519509 (Tel: 8153001100)

πŸ“
Updated Business Mailing Address February 20, 2017

Registered at 1900 SILVER CROSS BLVD, PEDIATRICS OFFICE #3116, NEW LENOX, IL 604519509 (Tel: 8153001100)

πŸ‘€
Provider Name / Credentials Updated February 20, 2017

Recorded as SANDRA NDIAYE, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2017

Pediatrics (license number reported to NPPES: IL 036134339)

βœ…
NPI Profile Active March 18, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 18, 2016

Registered at 1900 SILVER CROSS BLVD, PEDIATRICS OFFICE #3116, NEW LENOX, IL 604519509 (Tel: 8153001100)

πŸ“
Business Mailing Address (Initial Record) March 18, 2016

Registered at 1900 SILVER CROSS BLVD, PEDIATRICS OFFICE #3116, NEW LENOX, IL 604519509 (Tel: 8153001100)

πŸ‘€
Provider Name / Credentials (Initial Record) March 18, 2016

Recorded as SANDRA MIKULIN, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2016

Pediatrics (license number reported to NPPES: IL 036134339)

🟒
Initial NPI Registration & Enumeration March 21, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215236963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2011
Last Update: May 07, 2024
Sole Proprietor: No

Mailing Address

1900 Silver Cross Blvd, Pediatrics Office #3116

New Lenox, IL 604519509

Phone: 8153001100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.