Individual provider Active NPI

William Merrick Sanders, MD

  • Pulmonary Disease Physician
  • Chicago, IL
National Provider Identifier
1164426599
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
36090670 Issued in IL
Practice address
2845 N Sheridan Rd
Ste 710
Chicago, IL 60657-7227
Phone
(773) 935-5556
Fax
(773) 935-2724
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 36090670 IL
Pulmonary Disease Physician 207RP1001X 36090670 IL Primary

Addresses

Primary practice location

2845 N Sheridan Rd
Ste 710
Chicago, IL 60657-7227

Mailing address

2845 N Sheridan Rd
Ste 710
Chicago, IL 60657-7227
Phone (773) 935-5556

Other identifiers 1

IdentifierTypeStateIssuer
36090670MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sublung@380.direct.myezyaccess.com
Direct Messaging Address sublung@380.direct.myezyaccess.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000285 IL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4789725979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Chicago, Pritzker School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

2845 N Sheridan Rd
Chicago, IL 60657-7227

2900 N Lake Shore Dr
Chicago, IL 60657-5640

331 W Surf St
Chicago, IL 60657-7227

Hospital & facility affiliations

  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36090670ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services Current Accepting new patients
Presence Healthcare Services CurrentSince Aug 1, 2024 Accepting new patients
Presence Healthcare Services CurrentSince Aug 1, 2024 Accepting new patients
Alexian Brothers Medical Care Group NFP CurrentSince Jul 1, 2020 Accepting new patients
Alexian Brothers Medical Care Group NFP Critical Care Medicine Current Accepting new patients
Presence Healthcare Services Past Accepting new patients

Locations

1614 W Central Rd
Ste 105
Arlington Hts, IL 60005
Phone (847) 255-9697

2800 N Sheridan Rd
Ste 301
Chicago, IL 60657
Phone (773) 935-5556

331 W Surf St
Ste 710
Chicago, IL 60657

62311 Collection Ctr Dr
Chicago, IL 60693

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

2845 N Sheridan Rd
Ste 710
Chicago, IL 60657
Phone (773) 935-5556

9669 Kenton Ave
Ste 300
Skokie, IL 60076
Phone (847) 674-6633

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1164426599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN RD",
            "address_2": "STE 710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577227",
            "telephone_number": "773-935-5556",
            "fax_number": "773-935-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN RD",
            "address_2": "STE 710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577227",
            "telephone_number": "773-935-5556",
            "fax_number": "773-935-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "WILLIAM",
        "middle_name": "MERRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "36090670",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "36090670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36090670",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sublung@380.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "2800 N Sheridan Rd",
            "address_2": "Ste 301",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sublung@380.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "2845 N Sheridan Rd",
            "address_2": "Ste 710",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606577227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.