Active NPI
Dominique L Sanchez, M.D.
- Family Medicine Physician
- Decatur, IN
National Provider Identifier
1972036093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2020-0249
- Practice address
- 1100 Mercer Ave
Decatur, IN 46733-2303 - Phone
- (260) 724-2145
- NPI assigned
- Apr 5, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2020-0249 | NM | Primary |
Addresses
Primary practice location
1100 Mercer Ave
Decatur, IN 46733-2303
Mailing address
PO Box 151
Decatur, IN 46733-0151
Phone (260) 724-2145
Other practice location 1
11 Melnea Cass Blvd
Boston, MA 02119-4401
Phone (617) 414-2080
Other practice location 2
850 Harrison Ave, FL 4
Yawkey Bldg
Boston, MA 02118
Phone (617) 414-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110185341A | Medicaid | MA | |
| 300083719 | Medicaid | IN | |
| 3138553 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240117001512 | IN | Practitioner - Family Practice | 8123397205 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adams County Memorial Hospital | Current | Accepting new patients | |
| Adams County Memorial Hospital | Current | Accepting new patients |
Locations
1100 Mercer Ave
Decatur, IN 46733
Interoperability endpoints
- dsanchez588754@direct.parkviewexchange.com
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 and National Provider Directory roles.
-
- Skilled Nursing Facility
- Liberty, IN
- NPI 1619176641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1972036093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151",
"city": "DECATUR",
"state": "IN",
"postal_code": "467330151",
"telephone_number": "260-724-2145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MERCER AVE",
"city": "DECATUR",
"state": "IN",
"postal_code": "467332303",
"telephone_number": "260-724-2145"
}
],
"practiceLocations": [
{
"address_1": "11 Melnea Cass Blvd",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021194401",
"country_code": "US",
"telephone_number": "617-414-2080",
"fax_number": "617-414-2090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 Harrison Ave, FL 4",
"address_2": "Yawkey Bldg",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02118",
"country_code": "US",
"telephone_number": "617-414-2000",
"fax_number": "617-414-5798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANCHEZ",
"first_name": "DOMINIQUE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-05",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2020-0249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110185341A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300083719",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3138553",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.