DR. SANDRA P MEDINILLA MD
NPI 1396027991
Surgery - Surgical Critical Care in Newark, DE
About Dr. Sandra P Medinilla Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANDRA P MEDINILLA MD (NPI 1396027991) is an individual surgical critical care provider in Newark, Delaware, licensed in Michigan (4301500497) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Temple University School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sandra P Medinilla 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.
Medicare Billing Reassignments
4Medicare enrollment records show Sandra Medinilla reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 1,531 clinicians in this Medicare group
Altoona, PA 16602
- Reassigned Medicare billing, Pennsylvania enrollment
- 338 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 1,030 clinicians in this Medicare group
Kalamazoo, MI 49007
- Reassigned Medicare billing, Michigan enrollment
- 1,133 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bronson Methodist Hospital
Acute Care Hospitals · Kalamazoo, MIBronson Lakeview Hospital
Critical Access Hospitals · Paw Paw, MIOther Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, DE 19713
NEWARK, DE 19713
NEWARK, DE 19713
NEWARK, DE 19713
NEWARK, DE 19713
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 Sandra Medinilla's NPI number?
The NPI number for Sandra Medinilla is 1396027991. It was assigned to this individual provider in the NPPES registry on September 9, 2011.
Where is Sandra Medinilla located?
Sandra Medinilla practices at 4735 Ogletown Stanton Road Map 2, Suite 3301, Newark, DE 19713. The listed phone number is (302) 623-4370.
What is Sandra Medinilla's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Sandra Medinilla enrolled in Medicare?
Yes. Sandra Medinilla 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.
Which organizations bill Medicare for Sandra Medinilla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Medinilla reassigns Medicare benefits to 4 organizations: Christiana Care Health Services Inc. (Newark, DE), Upmc Altoona Regional Health Services, Inc (Altoona, PA), Beaumont Medical Group- Specialty Services (Royal Oak, MI) and Bronson Methodist Hospital (Kalamazoo, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Medinilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandra Medinilla accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Sandra Medinilla 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 Sandra Medinilla affiliated with any hospitals?
According to CMS data, Sandra Medinilla is affiliated with Bronson Methodist Hospital and Bronson Lakeview Hospital.
When was this NPI record last updated?
The NPPES record for Sandra Medinilla was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Dr. Sandra P Medinilla, MD · NPI 1396027991
Surgical Critical Care physician in Newark, Delaware. Individual provider, active in the CMS NPPES registry since September 9, 2011.
## Identity
- **NPI:** 1396027991 (Entity type: Individual)
- **Enumerated:** September 9, 2011
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** 4301500497 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4735 OGLETOWN STANTON ROAD, MAP 2, SUITE 3301, Newark, DE 19713-0000
- **Phone:** (302) 623-4370 · **Fax:** (302) 623-4375
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Christiana Care Health Services Inc. (NPI 1215975149, Newark, DE); Upmc Altoona Regional Health Services, Inc (NPI 1396724217, Altoona, PA); Beaumont Medical Group- Specialty Services (NPI 1578072906, Royal Oak, MI); Bronson Methodist Hospital (NPI 1417961137, Kalamazoo, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** October 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396027991) · Data from the CMS NPPES public registry.