Individual provider Active NPI

Timothy Sanders, DO

  • Anesthesiology Physician
  • Morris, IL
National Provider Identifier
1740232008
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
36085506 Issued in IL
Practice address
150 W High St
Morris, IL 60450-1463
Phone
(630) 472-8800
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 36085506 IL Primary

Addresses

Primary practice location

150 W High St
Morris, IL 60450-1463

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (800) 242-1131

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000718 IL Practitioner - Anesthesiology 1254399207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Chicago College of Osteopathy, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Anesthesia Providers LTDGroup PAC ID 6709249006, 26 clinicians

Practice addresses (Care Compare)

19110 Darvin Dr
Suite a
Mokena, IL 60448-8683
Phone (708) 478-8889

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36085506ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Anesthesia Providers, LTD Anesthesiology CurrentSince Jul 25, 2023 Accepting new patients
Anesthesia Consultants of Morris, LLC Anesthesiology Current Accepting new patients
Windy City Anesthesia PC Anesthesiology Past Accepting new patients
Deerpath Ambulatory Surgical Center, LLC Past Accepting new patients
Windy City Anesthesia PC Past Accepting new patients

Locations

19110 Darvin Dr
Ste A
Mokena, IL 60448
Phone (708) 478-8889

150 W High St
Morris, IL 60450
Phone (815) 942-2129

720 Brom Ct
Ste 201
Naperville, IL 60540
Phone (331) 330-8559

1003 Pawlak Pkwy
New Lenox, IL 60451
Phone (708) 226-3300

7340 W College Dr
Palos Heights, IL 60463
Phone (708) 361-3233

10330 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 237-7200

18200 La Grange Rd
Tinley Park, IL 60487
Phone (708) 570-2490

2211 Main St
Ste 1A
Highland, IN 46322
Phone (219) 836-2201

9200 Calumet Ave
Ste N300
Munster, IN 46321
Phone (219) 273-2570

9200 Calumet Ave
Ste 200
Munster, IN 46321
Phone (219) 961-9621

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740232008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "800-242-1131",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W HIGH ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501463",
            "telephone_number": "630-472-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "36085506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.