Active NPI
Sara Ann Mijal, MD
- Vascular Surgery Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 036135686
- Practice address
- 8201 E Riverside Blvd
Rockford, IL 61114-2300 - Phone
- (815) 971-7000
- NPI assigned
- Mar 28, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036135686 | IL | |
| Vascular Surgery Physician | 2086S0129X | 52433 | WI | |
| Vascular Surgery Physician | 2086S0129X | 036135686 | IL | Primary |
Addresses
Primary practice location
8201 E Riverside Blvd
Rockford, IL 61114-2300
Mailing address
4356 S Jordan Dr
McFarland, WI 53558-9747
Phone (815) 510-0017
Other practice location 1
2400 N Rockton Ave
Rockford, IL 61103-3655
Phone (815) 971-5000
Other practice location 2
1340 Charles St Ste 200
Rockford, IL 61104-2200
Phone (779) 696-8799
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720107261 | Medicaid | WI | |
| 036135686 | Medicaid | IL | |
| 036135686 | Other | IL | ILLINOIS LICENSE NUMBER |
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
- Vascular Surgery
- Education
- Medical College of Wisconsin, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400
1700 Henry Luckow LN
Belvidere, IL 61008-1702
Phone (779) 696-8650
209 9TH St
Suite 200
Rockford, IL 61104-2235
Phone (779) 696-2750
2404 Charles St
Rockford, IL 61108-1602
Phone (779) 696-7910
380 E Il Route 38
Sa Rochelle
Rochelle, IL 61068-9694
Phone (779) 696-9050
6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610
Hospital & facility affiliations
- Uw Health
- Javon Bea Hospital
- FHN Memorial Hospital
- Saint Anthony Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52433 | WI | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| RMH Pathologists, LTD | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
444 Roxbury Rd
Rockford, IL 61107
Phone (815) 395-9196
2300 N Rockton Ave
Ste 304
Rockford, IL 61103
Phone (815) 964-3333
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Interoperability endpoints
- smijal908136@direct.uwhealth.org
- bcacioppo924395@direct.uwhealth.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
IL
-
- Anatomic Pathology Physician
- Rockford, IL
- NPI 1184671992
-
- Family Medicine Physician
- Rockford, IL
- NPI 1619039724
-
- Health Educator
- Madison, WI
- NPI 1487414082
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1720107261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4356 S JORDAN DR",
"city": "MCFARLAND",
"state": "WI",
"postal_code": "535589747",
"telephone_number": "815-510-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611142300",
"telephone_number": "815-971-7000"
}
],
"practiceLocations": [
{
"address_1": "2400 N Rockton Ave",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611033655",
"country_code": "US",
"telephone_number": "815-971-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1340 Charles St Ste 200",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611042200",
"country_code": "US",
"telephone_number": "779-696-8799",
"fax_number": "779-696-3352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIJAL",
"first_name": "SARA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036135686",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WI",
"license": "52433",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036135686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720107261",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036135686",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE NUMBER",
"identifier": "036135686",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.