SANDRA M NDIAYE D.O.
NPI 1215236963
Pediatrics in New Lenox, IL

Q: What is Sandra Ndiaye's NPI number?

The NPI number for Sandra Ndiaye is 1215236963. It was assigned to this individual provider in the NPPES registry on March 21, 2011. The provider is also known as Sandra J Mikulin D.O..

Q: What is Sandra Ndiaye's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Ndiaye was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 21, 2011PECOS Enrolled

1900 SILVER CROSS BLVD, NEW LENOX, IL 60451(815) 300-1100(815) 300-7049 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Apr 21, 2020, Feb 20, 2017 and 1 more (4 updates tracked since 2016).

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About Sandra M Ndiaye D.o. NPPES

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

SANDRA M NDIAYE D.O. (NPI 1215236963) is an individual pediatrics provider in New Lenox, Illinois, licensed in Illinois (036134339) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215236963

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSANDRA M NDIAYECredential: D.O.

Location Address1900 SILVER CROSS BLVDNew Lenox, IL 60451-9509

Mailing Address1900 Silver Cross Blvd, Pediatrics Office #3116New Lenox, IL 60451-9509 · (815) 300-1100 · Fax (815) 300-7049

Phone(815) 300-1100

Fax(815) 300-7049

Sole ProprietorNo

Enumeration DateMarch 21, 2011

Last NPPES UpdateMay 7, 20244 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1215236963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036134339

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 02007537A (IN)

1900 SILVER CROSS BLVD, New Lenox, IL 60451

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Other Names 1

Former Name (1)Sandra J Mikulin D.o.

Secondary Practice Locations 3

Location 11044 N Francisco AveChicago, IL 60622-2743 · Phone (773) 292-8200

Location 225 N Winfield RdWinfield, IL 60190-1222 · Phone (630) 933-1600

Location 312750 Saint Francis DrCrown Point, IN 46307-0264 · Phone (219) 757-6005 · Fax (219) 681-6823

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Sandra M Ndiaye D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60451 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

MRS. CONNIE LYNN MACHETTA RDN, LDN

Dietitian, Registered