SANDRA ROSE – Epilepsy Physician, NPI 1487889317

SANDRA ROSE is a healthcare provider. based in Crown point, Indiana. specializing in EPILEPTOLOGISTS, NEUROLOGY. They hold a License No. 036117714 (IL). The NPI Number for SANDRA ROSE is 1487889317

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA ROSE
NPI
1487889317
Phone
(888) 824-0200
Address
10855 Virginia St
Enumeration Date
21 May 2009
Last Update Date
17 September 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6183514972
Graduation Year
2003 (23 years ago)
PAC ID
0749333029
Group Practice PAC ID
3678677390
Professional Enrollment ID
I20090804000429
Address ID
IL629011474CA305XXSTXX412
Telehealth
Yes

Contacts

Secure Messaging
srosemd11429@uchospital.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness95
Years active:17State licenses:1Other names

20 EPILEPTOLOGISTS in IN

Provider Addresses for SANDRA ROSE

  • 10855 Virginia St

    Crown Point, IN 463070210

    Phone: (888) 824-0200

    Type: Location

  • Au Bon Pain, 5841, South Maryland Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60637, United States

    MC 2030

    CHICAGO, IL 606371447

    Phone: (773) 834-4703

    Fax: (773) 834-4800

    Type: Mailing

  • 150 HARVESTER DR

    SUITE 300

    BURR RIDGE, IL 605275919

    Phone:

    Type: Mailing

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: 2024-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090804000429IEpileptologistsILTBD
I20240905000463IEpileptologistsINTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0453Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)35330$0
95720Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional11064$0
95816Measurement of brain wave activity (eeg), awake and drowsy7776$0
95718Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional5959$0
99214Established patient office or other outpatient visit, 30-39 minutes5038$0
View full utilization report →

Insurance plans in this area (ZIP 46307)

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Provider's Procedures

SANDRA ROSE performs procedures in EPILEPTOLOGISTS. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYIL95819Measurement and recording of brain wave (EEG) activity, awake and asleep4747

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678677390View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YIL
Cardiovascular Disease (Cardiology)IL
-IL
Emergency MedicineIL
Nurse PractitionerMO
Nurse PractitionerIL
Emergency MedicineIL
-IL
N E U R O L O G YIL
U R O L O G YIL

Reviews

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Frequently asked questions

What is the registry number for SANDRA ROSE?
The registry entry for SANDRA ROSE shows NPI 1487889317.
Does the public listing show SANDRA ROSE as active?
SANDRA ROSE's NPI record reflects an active status in NPPES.
Which specialty label fits SANDRA ROSE?
NPPES ties SANDRA ROSE to Epilepsy Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to SANDRA ROSE?
The directory associates SANDRA ROSE with Crown Point, Indiana. Check all listed addresses for suites or satellite offices.
Who maintains SANDRA ROSE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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