Individual provider Active NPI

Maria Vivian L Sanchez, M.D.

  • Internal Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1912981309
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-095932 Issued in IL
Practice address
5660 W 95TH St
Oak Lawn, IL 60453-2380
Phone
(630) 691-4434
Fax
(630) 963-9594
NPI assigned
Nov 30, 2005
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-095932 IL Primary

Addresses

Primary practice location

5660 W 95TH St
Oak Lawn, IL 60453-2380

Mailing address

13817 Legend Trail LN
Orland Park, IL 60462-1102
Phone (630) 691-4434

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
I20070328000407 IL Practitioner - Emergency MedicinePractitioner - Internal Medicine 8820091101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nowobilska Medical Practice LTDGroup PAC ID 5991994543, 2 clinicians

Practice addresses (Care Compare)

4201 W 95TH St
Oak Lawn, IL 60453-2615
Phone (708) 636-8546

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-095932ILMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: msanchez403711@direct.myadvocateaurora.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Essential Home Health Care Agency, Inc.Plymouth, MI, CCN 239227 Home health agency 5% Or Greater Direct Ownership Interest (60.47%)
Corporate Officer (60.47%)
Corporate Director (60.47%)
Aug 8, 2018
Sep 15, 2012
Sep 15, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1912981309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13817 LEGEND TRAIL LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621102",
            "telephone_number": "630-691-4434",
            "fax_number": "630-963-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532380",
            "telephone_number": "630-691-4434",
            "fax_number": "630-963-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "MARIA VIVIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-095932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.