TIMOTHY A. SANBORN M.D.
NPI 1073600987
Internal Medicine - Cardiovascular Disease in Kenosha, WI
About Timothy A. Sanborn M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY A. SANBORN M.D. (NPI 1073600987) is an individual cardiovascular disease provider in Kenosha, Wisconsin, licensed in Wisconsin (69326) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy A. Sanborn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Timothy Sanborn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kenosha, WI 53143
- Reassigned Medicare billing, Wisconsin enrollment
- 24 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENOSHA, WI 53143
KENOSHA, WI 53143
KENOSHA, WI 53143
KENOSHA, WI 53143
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Timothy Sanborn's NPI number?
The NPI number for Timothy Sanborn is 1073600987. It was assigned to this individual provider in the NPPES registry on October 10, 2006.
Where is Timothy Sanborn located?
Timothy Sanborn practices at 6308 8th Ave, Kenosha, WI 53143. The listed phone number is (262) 653-3650.
What is Timothy Sanborn's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Timothy Sanborn enrolled in Medicare?
Yes. Timothy Sanborn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Timothy Sanborn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Sanborn reassigns Medicare benefits to 3 organizations: Kenosha Community Health Center, Inc (Kenosha, WI), The Medical College Of Wisconsin, Inc. (Milwaukee, WI) and Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Sanborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Sanborn accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health list Timothy Sanborn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Timothy Sanborn was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Timothy A. Sanborn, M.D. · NPI 1073600987
Cardiovascular Disease physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1073600987 (Entity type: Individual)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 69326 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 6308 8TH AVE, Kenosha, WI 53143
- **Phone:** (262) 653-3650 · **Fax:** (262) 656-3672
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kenosha Community Health Center, Inc (NPI 1770789489, Kenosha, WI); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI); Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (NPI 1568787448, Menomonee Falls, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2018
- **Other identifiers:** Medicaid 1073600987 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1073600987) · Data from the CMS NPPES public registry.