Active NPI
Kristina Sondgeroth, MD
- Maternal & Fetal Medicine Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 036.149218
- Practice address
- 400 N 9TH St FL 3
Springfield, IL 62702-5310 - Phone
- (217) 545-8000
- Fax
- (217) 757-6388
- NPI assigned
- Jun 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036.149218 | IL | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 036.149218 | IL | Primary |
Addresses
Primary practice location
400 N 9TH St FL 3
Springfield, IL 62702-5310
Mailing address
PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000
Other practice location 1
320 E Central Ave
Decatur, IL 62521-4665
Phone (217) 545-8000
Other practice location 2
1215 Franciscan Dr
Litchfield, IL 62056-1778
Phone (217) 545-8000
Other practice location 3
612 N 11th St
Quincy, IL 62301-2662
Phone (217) 545-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036149218 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 N 9TH St
Springfield, IL 62702-5310
Phone (217) 545-8000
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.149218 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Past | Accepting new patients |
Locations
320 E Central Ave
Decatur, IL 62521
Phone (217) 877-4694
1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191
612 N 11th St
Quincy, IL 62301
Phone (217) 224-9484
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498
400 N 9th St
Fl 3
Springfield, IL 62702
Interoperability endpoints
- kristinasondgeroth@siusm.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
-
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
- Pediatrics Physician
- Springfield, IL
- NPI 1285657379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1992068845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19639",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949639",
"telephone_number": "217-545-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 9TH ST FL 3",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025310",
"telephone_number": "217-545-8000",
"fax_number": "217-757-6388"
}
],
"practiceLocations": [
{
"address_1": "320 E Central Ave",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625214665",
"country_code": "US",
"telephone_number": "217-545-8000",
"fax_number": "217-545-3952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Franciscan Dr",
"address_purpose": "LOCATION",
"city": "Litchfield",
"state": "IL",
"postal_code": "620561778",
"country_code": "US",
"telephone_number": "217-545-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "612 N 11th St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623012662",
"country_code": "US",
"telephone_number": "217-545-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SONDGEROTH",
"first_name": "KRISTINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036.149218",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "IL",
"license": "036.149218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036149218",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.
- 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.