Active NPI
Sandra C Roland, M.D.
- Vascular & Interventional Radiology Physician
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 01062856A
- 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, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1102429111 | Other | IN | ANTHEM |
| 200856110 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- 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 Radiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01062856A | IN | MD | Vascular & Interventional Radiology Physician |
| 101028 | WI | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Inc | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Carle Bromenn Medical Center | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Friedell Clinic, S. C. | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| X-Ray Consultants Inc | Diagnostic Radiology | Current | Accepting new patients |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Carle Bromenn Medical Center | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | 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 | Past | 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
- him@marshfieldclinichealthsystem.cernerdirect.com
- sandra.roland.1@28977.direct.athenahealth.com
- sroland@legacy.streamlinemddirect.com
- srolandmd1430221@direct.trinity-health.org
- 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.
-
dba Saint Joseph Medical Group
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Diagnostic Radiology Physician
- South Bend, IN
- NPI 1770536815
-
dba Bromenn Family Health Clinic
- Clinic/Center
- Normal, IL
- NPI 1104442615
-
- Family Medicine Physician
- Chicago, IL
- NPI 1306854021
-
dba Hoopeston Physician Group
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
-
dba Saint Joseph Medical Group
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
-
dba Hillside Unit Pharmacy (DME)
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba Advocate BroMenn Medical Center
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
dba Advocate BroMenn Medical Center
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.