TIMOTHY A. SANBORN M.D.
NPI 1073600987
Internal Medicine - Cardiovascular Disease in Kenosha, WI

Q: 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.

Q: What is Timothy Sanborn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: 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.

Active since October 10, 2006PECOS Enrolled

6308 8TH AVE, KENOSHA, WI 53143(262) 653-3650(262) 656-3672 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2018, Jun 28, 2018 (2 updates tracked since 2018).

On this page

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, is affiliated with Froedtert South Inc., and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073600987

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameTIMOTHY A. SANBORNCredential: M.D.

Location Address6308 8TH AVEKenosha, WI 53143

Mailing Address7901 S 6th StOak Creek, WI 53154-2010 · (414) 346-8000 · Fax (414) 346-8010

Phone(262) 653-3650

Fax(262) 656-3672

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1977

Enumeration DateOctober 10, 2006

Last NPPES UpdateJuly 25, 20182 updates tracked since enumeration

✔ NPI 1073600987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in WI · 69326✔ Licensed in IL · 036102493

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

6308 8TH AVE, Kenosha, WI 53143

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Secondary Practice Locations 3

Location 12050 Pfingsten Rd, Suite 360Glenview, IL 60026-1324 · Phone (847) 657-1819 · Fax (847) 657-1898

Location 27901 S 6th StOak Creek, WI 53154-2010 · Phone (414) 346-8000 · Fax (414) 346-8010

Location 39555 76th StPleasant Prairie, WI 53158-1984 · Phone (262) 656-3650 · Fax (262) 656-3672

Other Identifiers 1

Medicaid1073600987WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy A. Sanborn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961458872

PECOS Enrollment IDI20180618002972

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number520021

Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County

Emergency services

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.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

GINA GAMBUCCI MS, LAT, ATC, OTC

Specialist/Technologist (Athletic Trainer)

6308 8TH AVE
KENOSHA, WI 53143

Kenosha County (262) 656-2011

HANNA MARIANI M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

6308 8TH AVE, STE 3070
KENOSHA, WI 53143

Kenosha County (262) 656-3710

RAYMOND W KNIGHT MD

Internal Medicine (Hematology & Oncology)

6308 8TH AVE, STE 2000
KENOSHA, WI 53143

Kenosha County (262) 653-5300

BRADLEY N. HAUGSTAD, M.D., S.C.

Anesthesiology

6308 8TH AVE
KENOSHA, WI 53143

Kenosha County (262) 656-2011

JIMALEEN DELABIO

General Acute Care Hospital

6308 8TH AVE
KENOSHA, WI 53143

Kenosha County (262) 656-3290

KENOSHA VASCULAR LAB INC

Specialist

6308 8TH AVE, SUITE 301
KENOSHA, WI 53143

Kenosha County (262) 656-8265

MARK R VYTLACIL M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

6308 8TH AVE
KENOSHA, WI 53143

Kenosha County (262) 656-2943

MICHAEL H ZEIHEN MD

Internal Medicine

6308 8TH AVE, SUITE 2000
KENOSHA, WI 53143

Kenosha County (262) 653-5300

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.

What insurance does Timothy Sanborn accept?

Health plans from 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.

Is Timothy Sanborn affiliated with any hospitals?

According to CMS data, Timothy Sanborn is affiliated with Froedtert South Inc..

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.