JOHN GEORGE SANIDAS M.D.
NPI 1356388359
Internal Medicine in Mequon, WI

Q: What is John Sanidas's NPI number?

The NPI number for John Sanidas is 1356388359. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Q: What is John Sanidas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for John Sanidas was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 31, 2006PECOS EnrolledAccepts Medicare Assignment

81.48/100

CMS Quality Rating

13133 N PORT WASHINGTON RD, SUITE G-18, MEQUON, WI 53097(262) 243-5000(262) 243-2527 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About John George Sanidas M.d. NPPES

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

JOHN GEORGE SANIDAS M.D. (NPI 1356388359) is an individual internal medicine provider in Mequon, Wisconsin, licensed in Wisconsin (38112) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Medical College Of Wisconsin (1995).

NPPES Registry Identity

NPI1356388359

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJOHN GEORGE SANIDASCredential: M.D.

Location Address13133 N PORT WASHINGTON RD, SUITE G-18Mequon, WI 53097-2419

Mailing Address788 N Jefferson St, Suite 300/attn. Kaaren ButzenMilwaukee, WI 53202-3718 · (414) 272-8950 · Fax (414) 272-0859

Phone(262) 243-5000

Fax(262) 243-2527

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 1995

Enumeration DateMay 31, 2006

Last NPPES UpdateNovember 9, 2016

✔ NPI 1356388359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 38112

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

13133 N PORT WASHINGTON RD, Mequon, WI 53097

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Other Identifiers 2

Medicare UPIN001373645WI

Medicaid1356388359WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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 and accepts Medicare assignment

John George Sanidas M.d. 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 ID2769401397

PECOS Enrollment IDI20051114000384

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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

580 services382 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

372 services372 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

226 services51 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

184 services42 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

64 services48 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

54 services49 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

40 services29 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

36 services36 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

35 services35 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

30 services30 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

30 services30 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

24 services13 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

19 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services14 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

13 services12 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha County

Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520051

Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County

Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520136

Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County

Emergency services Birthing friendly

Orthopaedic Hospital Of Wisconsin

Acute Care Hospitals · Glendale, WI

OwnershipPhysician

CMS Certification Number520194

Location475 W River Woods PkwyGlendale, WI 53212 · Milwaukee County

Aurora Medical Center

Acute Care Hospitals · Grafton, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520207

Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53097 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

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

81.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.39

Promoting Interoperability

100

Improvement Activities

Cost

49.87

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers22 claims86 services$5.18 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier14 claims14 services$24.32 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier15 claims16 services$9.30 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

1 supplier13 claims489 services$0.92 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers23 claims23 services$28.01 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers11 claims11 services$7.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. MARY KATHERINE KAUTZ APNP

Nurse Practitioner (Gerontology)

13133 N PORT WASHINGTON RD, SUITE 122
MEQUON, WI 53097

Ozaukee County (262) 243-3700

MILWAUKEE ORTHOPAEDIC GROUP LTD

Specialist

13133 N PORT WASHINGTON RD, SUITE 104
MEQUON, WI 53097

Ozaukee County (414) 276-6000

KATHARINE W. SCHENCK PA-C

Physician Assistant

13133 N PORT WASHINGTON RD, SUITE 104
MEQUON, WI 53097

Ozaukee County (262) 243-5044

DREW M ELGIN M.D.

Internal Medicine (Gastroenterology)

13133 N PORT WASHINGTON RD, SUITE G16
MEQUON, WI 53097

Ozaukee County (262) 243-2500

JOAN T. HARNEY GNADT, MD, SC

Internal Medicine (Cardiovascular Disease)

13133 N PORT WASHINGTON RD, SUITE 11
MEQUON, WI 53097

Ozaukee County (262) 243-6000

SCOTT A JORGENSEN M.D.

Internal Medicine

13133 N PORT WASHINGTON RD, SUITE G18
MEQUON, WI 53097

Ozaukee County (262) 243-5000

CANDACE MOORE NP

Nurse Practitioner

13133 N PORT WASHINGTON RD, SUITE G-18
MEQUON, WI 53097

Ozaukee County (262) 243-5000

EAMEN GEBOY APNP

Nurse Practitioner (Adult Health)

13133 N PORT WASHINGTON RD
MEQUON, WI 53097

Ozaukee County (262) 243-5000

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 John Sanidas's NPI number?

The NPI number for John Sanidas is 1356388359. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is John Sanidas located?

John Sanidas practices at 13133 N Port Washington Rd Suite G-18, Mequon, WI 53097. The listed phone number is (262) 243-5000.

What is John Sanidas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Sanidas enrolled in Medicare?

Yes. John Sanidas 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.

What insurance does John Sanidas accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list John Sanidas 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 John Sanidas affiliated with any hospitals?

According to CMS data, John Sanidas is affiliated with Waukesha Memorial Hospital, Ascension Columbia St Mary's Hospital Milwaukee, Ascension SE Wisconsin Hospital, Orthopaedic Hospital Of Wisconsin and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for John Sanidas was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.