Active NPI
Manpreet Kaur Sandhu, M.D.
- Hematology & Oncology Physician
- Alton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036132385
- Practice address
- 815 E 5TH St
Suite 303
Alton, IL 62002-6471 - Phone
- (618) 474-4855
- Fax
- (618) 474-6468
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA08862100 | NJ | |
| Internal Medicine Physician | 207R00000X | 036132385 | IL | |
| Hematology & Oncology Physician | 207RH0003X | 036132385 | IL | Primary |
Addresses
Primary practice location
815 E 5TH St
Suite 303
Alton, IL 62002-6471
Mailing address
815 E 5TH St
Suite 303
Alton, IL 62002-6471
Phone (618) 474-4855
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2 Saint Anthonys Way
Suite 205
Alton, IL 62002-4569
Phone (618) 462-2222
Hospital & facility affiliations
- Osf Saint Anthony'S Hospice
- Osf Saint Anthony'S Health Center
- Jersey Community Hospital
- Alton Memorial Hospital
- Memorial Hospital
- Anderson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036132385 | IL | MD | Internal Medicine Physician |
| 25MA08862100 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
Locations
2 Saint Anthonys Way
Ste 205
Alton, IL 62002
Phone (618) 462-2222
815 E 5th St
Ste 303
Alton, IL 62002
Phone (618) 462-1955
400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Osf Saint Anthony'S Hospice | Hospice | W-2 Managing Employee | Oct 17, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Alton, IL
- NPI 1700295920
W-2 Managing Employee
Organizations & group practices 2
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
- Peoria, IL
- NPI 1922445527
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alton, IL
- NPI 1548278476
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
-
- Community Based Hospice Care Agency
- Alton, IL
- NPI 1700295920
-
- General Acute Care Hospital
- Alton, IL
- NPI 1710396932
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1316233265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 E 5TH ST",
"address_2": "SUITE 303",
"city": "ALTON",
"state": "IL",
"postal_code": "620026471",
"telephone_number": "618-474-4855",
"fax_number": "618-474-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 E 5TH ST",
"address_2": "SUITE 303",
"city": "ALTON",
"state": "IL",
"postal_code": "620026471",
"telephone_number": "618-474-4855",
"fax_number": "618-474-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "MANPREET",
"middle_name": "KAUR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08862100",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036132385",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036132385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.