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SANMISOLA GEORGE
NPI 1154980571
Family Medicine in Park Ridge, IL

Active since June 10, 2019PECOS EnrolledAccepts Medicare Assignment
1775 BALLARD RD, PARK RIDGE, IL 60068(847) 318-6020 Get Directions Write a Review

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

Record update history: Apr 5, 2022, Jun 10, 2019 (2 updates tracked since 2019).

About Sanmisola George NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANMISOLA GEORGE (NPI 1154980571) is an individual family medicine provider in Park Ridge, Illinois, licensed in California (A183488) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154980571
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANMISOLA GEORGE
Location Address1775 BALLARD RDPark Ridge, IL 60068-1005
Mailing Address23520 Cactus AveMoreno Valley, CA 92553-8906
Phone(847) 318-6020
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 10, 2019
Last NPPES UpdateFebruary 25, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1154980571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A183488
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1775 BALLARD RD, Park Ridge, IL 60068
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sanmisola George is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547618589
PECOS Enrollment IDI20231130002810
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

DANIELLE ALYSSA WALES MD
Family Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-6020
ASHLEY ROSE ROBINSON DO
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KEVIN LIN DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KRUTIL PATEL
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
AYESHA LIAQUAT MD
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
WILLIAM D. RHOADES D.O.
Internal Medicine (Geriatric Medicine)
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-2500
MARYANN KELLY M.D.
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
DR. JOSIAH ESCHBACH DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340

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 Sanmisola George's NPI number?

The NPI number for Sanmisola George is 1154980571. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Sanmisola George located?

Sanmisola George practices at 1775 Ballard Rd, Park Ridge, IL 60068. The listed phone number is (847) 318-6020.

What is Sanmisola George's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sanmisola George enrolled in Medicare?

Yes. Sanmisola George is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sanmisola George was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.