Individual provider Active NPI

Sandra C Roland, M.D.

  • Vascular & Interventional Radiology Physician
  • Mishawaka, IN
National Provider Identifier
1659321545
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
01062856A Issued in IN
Practice address
611 E Douglas Rd Ste 200
Mishawaka, IN 46545-1465
Phone
(574) 335-6850
Fax
(574) 335-0849
NPI assigned
May 11, 2006
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01062856A IN
Vascular & Interventional Radiology Physician 2085R0204X 101028 WI
Vascular & Interventional Radiology Physician 2085R0204X 036097741 IL
Vascular & Interventional Radiology Physician 2085R0204X 01062856A IN Primary

Addresses

Primary practice location

611 E Douglas Rd Ste 200
Mishawaka, IN 46545-1465

Mailing address

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-8707

Other practice location 1

121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone (574) 233-3123

Other practice location 2

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other identifiers 2

IdentifierTypeStateIssuer
1102429111OtherINANTHEM
200856110MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20040313000238 IL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0446149868 Reassigns benefits to 6 organizations
I20070421000025 IN Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0446149868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Springfield Clinic, LLPGroup PAC ID 0547166076, 678 clinicians

Practice addresses (Care Compare)

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222

611 E Douglas Rd
Mishawaka, IN 46545-1465
Phone (574) 335-6060

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

701 N 1St St
Springfield, IL 62781-0001
Phone (217) 528-7541

775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01062856AINMDVascular & Interventional Radiology Physician
101028WIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince Aug 17, 2023 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Oct 10, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 17, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 17, 2023 Accepting new patients
Carle Bromenn Medical Center CurrentSince Oct 10, 2023 Accepting new patients
Carle Health Medical Group CurrentSince Oct 11, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 17, 2023 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 17, 2023 Accepting new patients
Friedell Clinic, S. C. CurrentSince Mar 20, 2021 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 17, 2023 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Oct 10, 2023 Accepting new patients
Carle West Physician Group Inc CurrentSince Oct 10, 2023 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Aug 1, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 17, 2023 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 17, 2023 Accepting new patients
X-Ray Consultants Inc Diagnostic Radiology CurrentSince Feb 1, 2007 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 17, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 17, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Carle Bromenn Medical Center CurrentSince Oct 10, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 17, 2023 Accepting new patients
Consultant Radiologists of Evanston, S.C. Diagnostic Radiology Past Accepting new patients
XRC Clinical Radiology, LLC Vascular & Interventional Radiology Past Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology PastSince Aug 17, 2015 Accepting new patients
XRC Medical Imaging, LLC Diagnostic Radiology Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

190 E Delaware Pl
Chicago, IL 60611
Phone (312) 944-0063

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

7531 S Stony Island Ave
Ste 251
Chicago, IL 60649

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

1300 Franklin Ave
Ste 100
Normal, IL 61761
Phone (309) 268-3503

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

611 E Douglas Rd
Ste 122
Mishawaka, IN 46545
Phone (574) 272-9991

611 E Douglas Rd
Ste 200
Mishawaka, IN 46545
Phone (574) 272-5347

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

121 S Saint Louis Blvd
South Bend, IN 46617
Phone (219) 233-3123

53940 Carmichael Dr
South Bend, IN 46635
Phone (574) 243-0100

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1000 N Oak Ave
Fl 2
Marshfield, WI 54449

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: sandra.roland.1@28977.direct.athenahealth.com
  • Direct secure messaging: sroland@legacy.streamlinemddirect.com
  • Direct secure messaging: srolandmd1430221@direct.trinity-health.org
  • Direct secure messaging: srolandmd383999@carlehiedirect.net

Organizations & group practices 29

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 29

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1659321545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 HOLY CROSS PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451469",
            "telephone_number": "574-335-8707",
            "fax_number": "574-335-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E DOUGLAS RD STE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451465",
            "telephone_number": "574-335-6850",
            "fax_number": "574-335-0849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S Saint Louis Blvd",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466172924",
            "country_code": "US",
            "telephone_number": "574-233-3123",
            "fax_number": "574-233-3125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "SANDRA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01062856A",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "101028",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036097741",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01062856A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1102429111",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200856110",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.