Active NPI
Sandeep Banga, M.D.
- Interventional Cardiology Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036174701
- Practice address
- 409 W Oak St
Carbondale, IL 62901-1464 - Phone
- (618) 529-4455
- Fax
- (618) 351-1287
- NPI assigned
- Jun 20, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1154510808
-
- Rural Health Clinic/Center
- West Frankfort, IL
- NPI 1215204938
-
- Rural Health Clinic/Center
- Herrin, IL
- NPI 1477820900
-
- Rural Health Clinic/Center
- Anna, IL
- NPI 1538689062
-
- Rural Health Clinic/Center
- Harrisburg, IL
- NPI 1750705364
-
- Rural Health Clinic/Center
- Benton, IL
- NPI 1780985135
-
- Rural Health Clinic/Center
- Murphysboro, IL
- NPI 1992032809
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, IL
- NPI 1073580130
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
Care Compare affiliation Hospital -
- Critical Access Hospital
- Murphysboro, IL
- NPI 1356435135
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Illinois Medical Services NFP
Practice addresses (Care Compare)
409 W Oak St
Carbondale, IL 62901-1414
Phone (618) 529-4455
Hospital & facility affiliations
- Memorial Hospital of Carbondale
- Herrin Hospital
- St Joseph Memorial Hospital
- Harrisburg Medical Center
- Barnes Jewish Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250715003389 | IL | Practitioner - Interventional Cardiology | 5597057679 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036174701 | IL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Medical Services, NFP | Internal Medicine | Current | Accepting new patients |
Locations
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
409 W Oak St
Carbondale, IL 62901
Phone (618) 536-2565
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956
217 S Park Ave
Ste 2
Herrin, IL 62948
3905 W Ernestine Dr
Marion, IL 62959
Phone (573) 331-5761
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036174701 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 036174701 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
409 W Oak St
Carbondale, IL 62901-1464
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200
Other practice location 1
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone (618) 529-4455
Other practice location 2
3905 W Ernestine Dr
Marion, IL 62959-5800
Phone (618) 529-4455
Other practice location 3
217 S Park Ave Ste 2
Herrin, IL 62948-3611
Phone (618) 529-4455
Electronic endpoints 4
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbanga84481@sih.direct-ci.com | ||
| Direct Messaging Address | sbanga84481@sih.direct-ci.com | ||
| Direct Messaging Address | sbanga84481@sih.direct-ci.com | ||
| Direct Messaging Address | sbanga84481@sih.direct-ci.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2025.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1003266149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3988",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629023988",
"telephone_number": "618-457-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W OAK ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011464",
"telephone_number": "618-529-4455",
"fax_number": "618-351-1287"
}
],
"practiceLocations": [
{
"address_1": "100 Dr Warren Tuttle Dr",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "IL",
"postal_code": "629462718",
"country_code": "US",
"telephone_number": "618-529-4455",
"fax_number": "618-351-1287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3905 W Ernestine Dr",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "IL",
"postal_code": "629595800",
"country_code": "US",
"telephone_number": "618-529-4455",
"fax_number": "618-351-1287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "217 S Park Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483611",
"country_code": "US",
"telephone_number": "618-529-4455",
"fax_number": "618-351-1287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANGA",
"first_name": "SANDEEP",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-20",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036174701",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036174701",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbanga84481@sih.direct-ci.com",
"affiliation": "N",
"address_1": "100 Dr Warren Tuttle Dr",
"city": "Harrisburg",
"state": "IL",
"country_code": "US",
"postal_code": "629462718",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbanga84481@sih.direct-ci.com",
"affiliation": "N",
"address_1": "217 S Park Ave Ste 2",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483611",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbanga84481@sih.direct-ci.com",
"affiliation": "N",
"address_1": "3905 W Ernestine Dr",
"city": "Marion",
"state": "IL",
"country_code": "US",
"postal_code": "629595800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbanga84481@sih.direct-ci.com",
"affiliation": "N",
"address_1": "409 W Oak St",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011464",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.