Individual provider Active NPI

Sandra Ruth Stanfel, AU.D.

  • Audiologist
  • Lake Forest, IL
National Provider Identifier
1831317825
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
Lake Forest Hospital
660 N. Westmoreland Road
Lake Forest, IL 60045
Phone
(847) 535-6114
Fax
(847) 535-7809
NPI assigned
Apr 23, 2007
Sex
Female
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
Audiologist 231H00000X IL Primary

Addresses

Primary practice location

Lake Forest Hospital
660 N. Westmoreland Road
Lake Forest, IL 60045

Mailing address

117 Windjammer Lane
Third Lake, IL 60030
Phone (847) 548-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711002259 SC Practitioner - Qualified Audiologist 5395960173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Eye and Ear Associates LLCGroup PAC ID 5294735031, 3 clinicians

Practice addresses (Care Compare)

2016 Sumter St
Columbia, SC 29201-2100
Phone (803) 744-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eye and Ear Associates LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

2016 Sumter St
Ste 100
Columbia, SC 29201

2016 Sumter St
Columbia, SC 29201
Phone (803) 744-2700

Organizations & group practices 1

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831317825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WINDJAMMER LANE",
            "city": "THIRD LAKE",
            "state": "IL",
            "postal_code": "60030",
            "telephone_number": "847-548-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAKE FOREST HOSPITAL",
            "address_2": "660 N. WESTMORELAND ROAD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "60045",
            "telephone_number": "847-535-6114",
            "fax_number": "847-535-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFEL",
        "first_name": "SANDRA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.