DR. SANDRA C ROLAND (M.D.) – Vascular & Interventional Radiology Physician, NPI 1659321545
Vascular & Interventional Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
Provider Addresses for DR. SANDRA C ROLAND (M.D.)
611 E DOUGLAS RD STE 200
MISHAWAKA, IN 465451465
Phone: (574) 335-6850
Fax: (574) 335-0849
Type: Location
121 S Saint Louis Blvd
South Bend, IN 466172924
Phone: (574) 233-3123
Fax: (574) 233-3125
Type: Location
1000 N Oak Ave
Marshfield, WI 544495703
Phone: (715) 387-5511
Type: Location
5215 HOLY CROSS PKWY
MISHAWAKA, IN 465451469
Phone: (574) 335-8707
Fax: (574) 335-0741
Type: Mailing
121, South Saint Louis Boulevard, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466172924
Phone: (574) 233-3123
Fax: (574) 233-3125
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $133.
Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.
Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Penumbra, Inc. ($133).
Total Amount
$133
General + Research + Ownership
Payments
1
Total payment records
General Amount
$133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $133 |
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: 2023-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040313000238 | I | Interventional Radiology | IL | TBD |
| I20070421000025 | I | Interventional Radiology | IN | TBD |
| I20230827000128 | I | Interventional Radiology | 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 46545)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | IN | 11042 | Removal of skin and tissue first 20 sq cm or less | 67 | 25 |
| INTERVENTIONAL RADIOLOGY | IN | 71010 | X-ray of chest, 1 view, front | 192 | 154 |
| INTERVENTIONAL RADIOLOGY | IN | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 22 | 22 |
| INTERVENTIONAL RADIOLOGY | IN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 34 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| Hospitalist, Family Practice | TX | |
| Clinical Psychologist | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | IL | |
| Diagnostic Radiology | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL |
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