Shakeel Sher Khan Sandozi, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036087004 Issued in IL

Practice address

625 S Fifth Street
Watseka, IL 60970

Phone

(815) 432-3805

Fax

(815) 432-3955

NPI assigned

Dec 5, 2006

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinckneyville Community HospitalGroup PAC ID 8123921632, shared by 3 NPIs, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinckneyville Community Hospital Hospital, Pinckneyville, IL, CCN 141307

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pinckneyville Community Hospital

  • Critical Access Hospital
  • Pinckneyville, IL
  • NPI 1689646523
  Medicare reassignment NPD
• Iroquois Surgical LTD

  • Specialist
  • Watseka, IL
  • NPI 1821116872
  NPD (past) Authorized official
• Pinckneyville Community Hospital

  dba Family Medical Center

  • Rural Health Clinic/Center
  • Pinckneyville, IL
  • NPI 1306818844
  NPD
• Lawrence County Memorial Hospital

  • Critical Access Hospital
  • Lawrenceville, IL
  • NPI 1386744795
  NPD (past)
• Pinckneyville Community Hospital

  • Critical Access Hospital
  • Pinckneyville, IL
  • NPI 1629039706
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pinckneyville Community Hospital

  • Critical Access Hospital
  • Pinckneyville, IL
  • NPI 1689646523
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1699833970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S FIFTH STREET",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "60970",
            "telephone_number": "815-432-3805",
            "fax_number": "815-432-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FIFTH STREET",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "60970",
            "telephone_number": "815-432-3805",
            "fax_number": "815-432-3955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5383 State Route 154",
            "address_purpose": "LOCATION",
            "city": "Pinckneyville",
            "state": "IL",
            "postal_code": "622743342",
            "country_code": "US",
            "telephone_number": "618-357-2131",
            "fax_number": "618-708-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOZI",
        "first_name": "SHAKEEL",
        "middle_name": "SHER KHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036087004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509430A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIUS PUBLIC AID",
            "identifier": "0360870041",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Rose, DDS MS
• Amanda Rowell
• Derald L Rueb, MSW
• Jamie Sabo
• Sarah Jay Sammons, DC
• Samantha Sayre, MSW
• Emily Schamber
• Janella Schroeder, FNP-C
• Brittani Ann Seagren, APRN-NP, FNP-C
• Pradip Shah, M.D.

• Surgery Physician in Watseka, IL
• Providers in Watseka, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.