NPIMap

Individual provider Active NPI

Carlos Sanchez, MD

  • Emergency Medicine Physician
  • Freeport, IL
National Provider Identifier
1164490256
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-065681 Issued in IL
Practice address
1045 W Stephenson St
Freeport, IL 61032-4864
Phone
(815) 599-6000
NPI assigned
Mar 14, 2006
Last updated
Nov 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-065681 IL Primary

Addresses

Primary practice location

1045 W Stephenson St
Freeport, IL 61032-4864

Mailing address

1045 W Stephenson St
PO Box 857
Freeport, IL 61032-4864

Other identifiers 1

IdentifierTypeStateIssuer
036065381MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100327000343 IL Practitioner - Emergency Medicine 0244217677 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians

Practice addresses (Care Compare)

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as group
Quality
86.25
Improvement activities
40
Cost
77.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-065681ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler County Hospital District Current Accepting new patients
Freeport Memorial Hospital CurrentSince Jun 26, 2017 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince May 23, 2017 Accepting new patients
Belle Glade Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
Berner ER Services Partnership Emergency Medicine Past Accepting new patients
Emergency Medical Specialist, S.C Emergency Medicine Past Accepting new patients
Freeport Memorial Hospital PastSince Jun 16, 2024 Accepting new patients
East Fork Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Marion Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Emergency Medical Specialists, II, S.C. Emergency Medicine Past Accepting new patients
Eye Microsurgery, LTD. PastSince May 23, 2017 Accepting new patients
Harder Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

421 W Exchange St
Freeport, IL 61032
Phone (815) 599-7300

238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321

Interoperability endpoints

  • Direct secure messaging: csanc@yourcarecommunity.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1164490256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W STEPHENSON ST",
            "address_2": "PO BOX 857",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W STEPHENSON ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324864",
            "telephone_number": "815-599-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-065681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065381",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, IL

Sources for this page

Verify at the official NPI Registry.