TIMOTHY A. SANBORN (M.D.) – Cardiovascular Disease Physician, NPI 1073600987
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL
Provider Addresses for TIMOTHY A. SANBORN (M.D.)
2050 Pfingsten Rd
Suite 360
Glenview, IL 600261324
Phone: (847) 657-1819
Fax: (847) 657-1898
Type: Location
9555 76th St
Pleasant Prairie, WI 531581984
Phone: (262) 656-3650
Fax: (262) 656-3672
Type: Location
7901 S 6th St
Oak Creek, WI 531542010
Phone: (414) 346-8000
Fax: (414) 346-8010
Type: Location
South 6th Street, Oak Creek, Milwaukee County, Wisconsin, 53154, United States
OAK CREEK, WI 531542010
Phone: (414) 346-8000
Fax: (414) 346-8010
Type: Mailing
Froedtert Kenosha Hospital, 6308, 8th Avenue, Kenosha, Kenosha County, Wisconsin, 53143, United States
KENOSHA, WI 53143
Phone: (262) 653-3650
Fax: (262) 656-3672
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180618002972 | I | Cardiovascular Disease (Cardiology) | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60026)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 81 | 63 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WI | |
| Nurse Practitioner | WI | |
| Emergency Medicine | WI | |
| Clinical Social Worker | IL | |
| Mental Health Counselor | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| P S Y C H I A T R Y | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI |
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