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DR. MARIO SANCHEZ M.D.
NPI 1972577658
Pediatrics - Neonatal-Perinatal Medicine in Crown Point, IN

Active since February 17, 2006PECOS Enrolled
12750 ST FRANCIS DR, CROWN POINT, IN 46307(219) 757-6004(219) 681-6871 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2023, Feb 14, 2022, Jan 7, 2022 (3 updates tracked since 2022).

About Dr. Mario Sanchez M.d. NPPES

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

DR. MARIO SANCHEZ M.D. (NPI 1972577658) is an individual neonatal-perinatal medicine provider in Crown Point, Indiana, licensed in Indiana (01060732A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972577658
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MARIO SANCHEZCredential: M.D.
Location Address12750 ST FRANCIS DRCrown Point, IN 46307-0264
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(219) 757-6004
Fax(219) 681-6871
Sole ProprietorNo
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJanuary 15, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2024
✔ NPI 1972577658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in IN · 01060732A✔ Licensed in IL · 036-106054
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
12750 ST FRANCIS DR, Crown Point, IN 46307
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14440 W 95th St, Room 250 NOak Lawn, IL 60453-2600 · Phone (708) 684-5722
Location 21201 S Main StCrown Point, IN 46307-8481 · Phone (219) 738-2100 · Fax (219) 681-6871

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mario Sanchez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mario Sanchez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Franciscan Physician Network
62 mi
Urgent Care
1515 W DRAGOON TRL
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group
NPI 1366879009 (574) 254-6253

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JENNIFER LEE VIRGL NP-C
Nurse Practitioner (Family)
12750 ST FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 757-6121
ARNOLD MICHAEL KEMP MD
Hospitalist
12750 ST FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 757-6121
BO RA NAM M.D.
Hospitalist
12750 ST FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 757-6121
USMAN SYED ATHER MD
Hospitalist
12750 ST FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 757-6121
CHENG DU MD
Psychiatry & Neurology (Neurology)
12750 ST FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 757-6121
ADAM N. YAMOUT D.O.
Hospitalist
12750 ST FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 757-6121
ELIZABETH ELLEN SMITH APN, CNNP
Nurse Practitioner (Neonatal)
12750 ST FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 757-6004
AMJAD SHIHADEH MD
Hospitalist
12750 ST FRANCIS DR
CROWN POINT, IN 46307
Lake County (219) 757-6121

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 Mario Sanchez's NPI number?

The NPI number for Mario Sanchez is 1972577658. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Mario Sanchez located?

Mario Sanchez practices at 12750 St Francis Dr, Crown Point, IN 46307. The listed phone number is (219) 757-6004.

What is Mario Sanchez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mario Sanchez enrolled in Medicare?

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

Which organization bills Medicare for Mario Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Sanchez reassigns Medicare benefits to Franciscan Physician Network (Mishawaka, IN). The 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 Mario Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Sanchez accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Mario Sanchez 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.

When was this NPI record last updated?

The NPPES record for Mario Sanchez was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.