SANDRA VILLALPANDO
NPI 1881041291
Family Medicine in Oak Lawn, IL

Q: What is Sandra Villalpando's NPI number?

The NPI number for Sandra Villalpando is 1881041291. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Q: What is Sandra Villalpando's specialty?

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

Active since May 16, 2016PECOS EnrolledAccepts Medicare Assignment

9555 S 52ND AVE, OAK LAWN, IL 60453(708) 634-0950(708) 425-8931 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2024, Mar 26, 2021, Oct 30, 2019 and 2 more (5 updates tracked since 2016).

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About Sandra Villalpando NPPES

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

SANDRA VILLALPANDO (NPI 1881041291) is an individual family medicine provider in Oak Lawn, Illinois, licensed in Illinois (036.170194) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Advocate Christ Hospital & Medical Center, and maintains a secondary practice location in Hermiston.

NPPES Registry Identity

NPI1881041291

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSANDRA VILLALPANDO

Location Address9555 S 52ND AVEOak Lawn, IL 60453-3054

Mailing Address29373 Network PlChicago, IL 60673-1203 · (847) 390-5900

Phone(708) 634-0950

Fax(708) 425-8931

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2016

Enumeration DateMay 16, 2016

Last NPPES UpdateAugust 8, 20245 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1881041291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036.170194✔ Licensed in OR · MD193193

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.

9555 S 52ND AVE, Oak Lawn, IL 60453

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Secondary Practice Location 1

Location 1589 NW 11th StHermiston, OR 97838-6600 · Phone (541) 567-1717 · Fax (541) 564-5170

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Sandra Villalpando 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 ID4789972365

PECOS Enrollment IDI20240730000843

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.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Villalpando reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocate Health And Hospitals Corporation

0.7 mi

Mental Health (Including Community Mental Health Center)

4700 W 95TH ST, SUITE LOWER LEVEL 5
Oak Lawn, IL 60453

Reassigned Medicare billing, Illinois enrollment
4,870 clinicians in this Medicare group

NPI 1174747075 (800) 216-1110

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 2

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 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.

16 services14 patients

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.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140208

Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County

Emergency services Birthing friendly

Good Shepherd Medical Center

Critical Access Hospitals · Hermiston, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381325

Location610 NW 11th StreetHermiston, OR 97838 · Umatilla County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

2 suppliers17 claims34 services$4.79 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims1,081 services$0.02 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers11 claims11 services$18.89 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.

ELIZABETH M PAYMENT MD

Family Medicine