Individual provider Active NPI

Sanjay Sundar, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Moline, IL
National Provider Identifier
1386822153
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036.118384 Issued in IL
Practice address
520 Valley View Dr
Moline, IL 61265-6152
Phone
(309) 762-3621
Fax
(309) 762-3690
NPI assigned
Feb 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036.118384 IL
Anesthesiology Physician 207L00000X 036118384 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 036.118384 IL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036118384 IL

Addresses

Primary practice location

520 Valley View Dr
Moline, IL 61265-6152

Mailing address

520 Valley View Dr
Moline, IL 61265-6152
Phone (309) 762-3621

Other identifiers 1

IdentifierTypeStateIssuer
036118384MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081001000700 IL Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 4688742844 Reassigns benefits to 1 organization
I20180404001359 IA Practitioner - Interventional Pain Management 4688742844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Georgetown University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians
Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

520 Valley View Dr
Moline, IL 61265-6194
Phone (309) 762-3621

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

Hospital & facility affiliations

  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.118384ILMDAnesthesiology Physician
036118384ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ora Orthopedics, PC CurrentSince May 1, 2018 Accepting new patients
Ora Orthopedics PC CurrentSince May 1, 2018 Accepting new patients
Ora Orthopedics, PC Past Accepting new patients
Lawrence County Memorial Hospital Past Accepting new patients
Premier Pain Specialists LLC Anesthesiology Past Accepting new patients
River North Anesthesia Consultants ,S.C. Past Accepting new patients
Advanced Radiology, S.C. Past Accepting new patients

Locations

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

2300 53rd Ave
Ste LL0
Bettendorf, IA 52722
Phone (563) 441-7608

2300 53rd Ave
Ste LL01
Bettendorf, IA 52722
Phone (563) 441-7608

2900 S 25th St
Ste B2
Clinton, IA 52732
Phone (563) 278-8830

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

6101 Northwest Blvd
Davenport, IA 52806
Phone (563) 449-7004

900 14th St
De Witt, IA 52742
Phone (563) 659-1579

3426 N Port Dr
Ste 400
Muscatine, IA 52761
Phone (563) 264-9185

600 N College Ave
Ste 110
Geneseo, IL 61254
Phone (309) 944-1595

1225 S Oakwood Ave
Ste 7B
Geneseo, IL 61254
Phone (309) 762-3621

520 Valley View Dr
Ste 400
Moline, IL 61265

520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952

520 Valley View Dr
Ste 100
Moline, IL 61265
Phone (309) 762-3621

985 Avenue of the Cities
Ste 105
Silvis, IL 61282
Phone (309) 762-3621

Interoperability endpoints

  • Direct secure messaging: ssundar@ora2099.srs-direct.com

Organizations & group practices 7

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 5

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": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1386822153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656152",
            "telephone_number": "309-762-3621",
            "fax_number": "309-762-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656152",
            "telephone_number": "309-762-3621",
            "fax_number": "309-762-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAR",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.118384",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036118384",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036.118384",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036118384",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118384",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.