Individual provider Active NPI

William G Sanders, MD

  • Emergency Medicine Physician
  • Dearborn, MI
National Provider Identifier
1871723445
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301094706 Issued in MI
Practice address
18101 Oakwood Blvd
Dearborn, MI 48123-4089
Phone
(313) 593-8780
Fax
(313) 436-2864
NPI assigned
Jul 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036130213 IL
Emergency Medicine Physician 207P00000X 4301094706 MI Primary

Addresses

Primary practice location

18101 Oakwood Blvd
Dearborn, MI 48123-4089

Mailing address

38935 Ann Arbor Rd
Livonia, MI 48150-3397
Phone (734) 632-0175

Other practice location 1

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 766-7334

Other identifiers 2

IdentifierTypeStateIssuer
1871723445MedicaidMI
12398197OtherMICAQH

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
I20130318000123 IL Practitioner - Emergency Medicine 5991969016 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rush Medical College of Rush University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 766-7334

1302 N Main St
Sandwich, IL 60548-2587
Phone (815) 786-8484

5 Kish Hospital Dr
Dekalb, IL 60115-9602

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

Hospital & facility affiliations

  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286
  • Valley West Community Hospital Hospital, Sandwich, IL, CCN 141340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301094706MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Jan 7, 2013 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Central Dupage Emergency Physicians, PC Emergency Medicine CurrentSince Oct 9, 2019 Accepting new patients
Epss Peoria LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2024 Accepting new patients
Epss, LLC- Metro Series Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jan 7, 2013 Accepting new patients
Epss LLC - Central Series Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Midwest Emergency Department Specialists LTD Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Community First Healthcare of Illinois, Inc. Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Presence Healthcare Services Past Accepting new patients

Locations

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

5645 W Addison St
Ste 301
Chicago, IL 60634
Phone (773) 736-4553

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

29373 Network Pl
Chicago, IL 60673

422 W White St
Clinton, IL 61727
Phone (217) 935-9570

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

10811 W 143rd St
Ste 100
Orland Park, IL 60467
Phone (708) 460-2500

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1871723445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38935 ANN ARBOR RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503397",
            "telephone_number": "734-632-0175",
            "fax_number": "888-250-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481234089",
            "telephone_number": "313-593-8780",
            "fax_number": "313-436-2864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kish Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601159602",
            "country_code": "US",
            "telephone_number": "815-766-7334",
            "fax_number": "815-766-7334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036130213",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301094706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871723445",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12398197",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.