Active NPI
Sandra Miskiewicz
- Anesthesiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 125.074110
- Practice address
- 1653 W Congress Pkwy
Chicago, IL 60612-3833 - Phone
- (312) 942-5000
- NPI assigned
- May 29, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036165525 | IL | |
| Anesthesiology Physician | 207L00000X | 125.074110 | IL | Primary |
Addresses
Primary practice location
1653 W Congress Pkwy
Chicago, IL 60612-3833
Mailing address
1620 W Harrison St
Chicago, IL 60612-3801
Phone (312) 942-5000
Other practice location 1
25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-6675
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
- Anesthesiology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 N Winfield Rd
Winfield, IL 60190-1222
Phone (630) 933-1600
500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 856-3075
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.074110 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Partners,Inc | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Adventist Health Partners, Inc | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients |
Locations
396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301
500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000
Dept 5777
Carol Stream, IL 60122
701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Interoperability endpoints
- smiskiewicz4649504@adventhealth.direct-ci.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Multi-Specialty Clinic/Center
- La Grange, IL
- NPI 1932650496
-
- Urology Physician
- Bolingbrook, IL
- NPI 1760620819
-
- Family Medicine Physician
- Bloomingdale, IL
- NPI 1043255888
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1497313183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123801",
"telephone_number": "312-942-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 W CONGRESS PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123833",
"telephone_number": "312-942-5000"
}
],
"practiceLocations": [
{
"address_1": "25 N Winfield Rd",
"address_purpose": "LOCATION",
"city": "Winfield",
"state": "IL",
"postal_code": "601901379",
"country_code": "US",
"telephone_number": "630-933-6675",
"fax_number": "630-933-2614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISKIEWICZ",
"first_name": "SANDRA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036165525",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "125.074110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.