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DR. CARLOS SANDOVAL-HERRERA MD
NPI 1316244817
Obstetrics & Gynecology in Chicago, IL

Active since February 17, 2011PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
3450 S ARCHER AVE, CHICAGO, IL 60608(773) 523-1000(773) 843-1553 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carlos Sandoval-herrera Md NPPES

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

DR. CARLOS SANDOVAL-HERRERA MD (NPI 1316244817) is an individual obstetrics & gynecology provider in Chicago, Illinois, licensed in Illinois (036125201) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1316244817
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. CARLOS SANDOVAL-HERRERACredential: MD
Location Address3450 S ARCHER AVEChicago, IL 60608-6837
Mailing Address3450 S Archer AveChicago, IL 60608-6837 · (773) 523-1000 · Fax (773) 843-1553
Phone(773) 523-1000
Fax(773) 843-1553
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 17, 2011
Last NPPES UpdateMay 14, 2012
✔ NPI 1316244817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036125201
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3450 S ARCHER AVE, Chicago, IL 60608
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN367830

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

Dr. Carlos Sandoval-herrera Md 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 ID5597937748
PECOS Enrollment IDI20111011000723
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.

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AJEET SINHA D.D.S.
Dentist (General Practice)
3450 S ARCHER AVE
CHICAGO, IL 60608
Cook County (773) 376-1200
MISS MARIA A TEJADA CNM
Nurse Practitioner (Obstetrics & Gynecology)
3450 S ARCHER AVE
CHICAGO, IL 60608
Cook County (773) 972-7462
SUSEJ BANDRES DMD
Dentist
3450 S ARCHER AVE
CHICAGO, IL 60608
Cook County (872) 314-1807
ACCESS COMMUNITY HEALTH NETWORK
Case Management
3450 S ARCHER AVE
CHICAGO, IL 60608
Cook County (773) 523-1000
MARIO ORTIZ PA-C
Physician Assistant
3450 S ARCHER AVE
CHICAGO, IL 60608
Cook County (773) 523-1000
MOHANLAL WICKRAMASINGHE MD
Pediatrics
3450 S ARCHER AVE
CHICAGO, IL 60608
Cook County (773) 523-1000
ACCESS COMMUNITY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
3450 S ARCHER AVE
CHICAGO, IL 60608
Cook County (773) 523-1000
SONIA MARIE LOTT M.D.
Family Medicine
3450 S ARCHER AVE
CHICAGO, IL 60608
Cook County (773) 523-1000

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 Carlos Sandoval-herrera's NPI number?

The NPI number for Carlos Sandoval-herrera is 1316244817. It was assigned to this individual provider in the NPPES registry on February 17, 2011.

Where is Carlos Sandoval-herrera located?

Carlos Sandoval-herrera practices at 3450 S Archer Ave, Chicago, IL 60608. The listed phone number is (773) 523-1000.

What is Carlos Sandoval-herrera's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carlos Sandoval-herrera enrolled in Medicare?

Yes. Carlos Sandoval-herrera 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.

Is Carlos Sandoval-herrera affiliated with any hospitals?

According to CMS data, Carlos Sandoval-herrera is affiliated with Mt Sinai Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Carlos Sandoval-herrera was last updated on May 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.