1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Family Medicine
  6. NPI Profile

JOSEPH A SANCHEZ MD
NPI 1912907270
Family Medicine in Chicago, IL

Active since July 28, 2005PECOS Enrolled
6974 N CLARK ST, CHICAGO, IL 60626(773) 743-6300(773) 743-2618 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joseph A Sanchez Md NPPES

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

JOSEPH A SANCHEZ MD (NPI 1912907270) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036079737) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1912907270
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH A SANCHEZCredential: MD
Location Address6974 N CLARK STChicago, IL 60626-3221
Mailing Address6974 N Clark StChicago, IL 60626-3221 · (773) 743-6300 · Fax (773) 743-2618
Phone(773) 743-6300
Fax(773) 743-2618
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 28, 2005
Last NPPES UpdateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
✔ NPI 1912907270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036079737
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.
6974 N CLARK ST, Chicago, IL 60626
Open in Google Maps ↗

Secondary Practice Location 1

Location 13500 W Peterson Ave Ste 300Chicago, IL 60659-3307 · Phone (773) 961-3200

Other Identifiers 1

Medicaid036079737IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph A Sanchez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012813819
PECOS Enrollment IDI20031211000604
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 10

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.
119 services78 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.
60 services60 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.
44 services37 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.
41 services40 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
39 services38 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
31 services24 patients

Hospital Affiliations CMS Care Compare

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

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60626 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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
83%77 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
79%29 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
84%121 patients4/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
8%62 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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
8 suppliers27 claims84 services$5.35 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers14 claims18 services$1.00 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers19 claims3,270 services$0.33 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
1 supplier11 claims1,393 services$0.03 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers17 claims17 services$18.97 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 2

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

PRESENCE HEALTHCARE SERVICES
Family Medicine
6974 N CLARK ST
CHICAGO, IL 60626
Cook County (773) 743-6300
PRESENCE HEALTHCARE SERVICES
Family Medicine
6974 N CLARK ST, SUITE 1
CHICAGO, IL 60626
Cook County (773) 539-1331

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 Joseph Sanchez's NPI number?

The NPI number for Joseph Sanchez is 1912907270. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Joseph Sanchez located?

Joseph Sanchez practices at 6974 N Clark St, Chicago, IL 60626. The listed phone number is (773) 743-6300.

What is Joseph Sanchez's specialty?

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

Is Joseph Sanchez enrolled in Medicare?

Yes. Joseph Sanchez is registered in the Medicare PECOS enrollment system.

Is Joseph Sanchez affiliated with any hospitals?

According to CMS data, Joseph Sanchez is affiliated with Presence Saint Francis Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Sanchez was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.