Active NPI
Sanjay Sundar, M.D.
- Pain Medicine (Anesthesiology) Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 036.118384
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036118384 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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.
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
- Genesis Medical Center-Davenport
- Hammond Henry Hospital
- Trinity - Bettendorf
- Trinity Rock Island
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.118384 | IL | MD | Anesthesiology Physician |
| 036118384 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ora Orthopedics, PC | Current | Accepting new patients | |
| Ora Orthopedics PC | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- De Witt, IA
- NPI 1043281355
-
- Diagnostic Radiology Physician
- Rock Island, IL
- NPI 1790773539
-
- Critical Access Hospital
- Lawrenceville, IL
- NPI 1396024162
-
- Pain Medicine (Anesthesiology) Physician
- Schaumburg, IL
- NPI 1255506697
-
- Pediatric Anesthesiology Physician
- Chicago, IL
- NPI 1326254939
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.