Carlos Sandoval-Herrera, MD
Obstetrics & Gynecology Physician · Chicago, IL
Carlos Sandoval-Herrera, MD is an obstetrics & gynecology physician with a practice address in Chicago, Illinois, and NPI 1316244817, issued on Feb 17, 2011. Check the license (Illinois 036125201, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Carlos Sandoval-Herrera
- Credential
- MD
- Primary taxonomy
- Obstetrics & Gynecology Physician 207V00000X
- License number
- 036125201 IL
Self-reported in NPPES; status is on the state search - Practice location
- 3450 S Archer Ave, Chicago, IL 60608
- Phone
- (773) 523-1000
- Enumerated
- Feb 17, 2011
- Record last updated
- May 14, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (773) 843-1553
- Medicare enrollment
- Enrolled (PECOS I20111011000723); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest obstetrics & gynecology physician records → All 2,062 in Illinois → Look up another NPI →
Also registered at 3450 S Archer Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Susej Bandres, DMDDentist1548192040
- Erleine Bautista, MDObstetrics & Gynecology Physician1912186784
- Hannah Holmes, MS, RN, FNP-BCFamily Nurse Practitioner1851789275
- Sonia Lott, M.D.Family Medicine Physician1801918545
- Mario Ortiz, PA-CPhysician Assistant1689436305
Verify Carlos Sandoval-Herrera in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036125201Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
76% fewer Medicare Part D claims than the average obstetrics & gynecology physician in 2024
40 Medicare Part D claims for 13 beneficiaries, against an average of 165 among the 28,733 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 80.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $14,519.13
18 payments; by number, the most common kind was food and beverage; the largest payer was Beckman Coulter, Inc. The 21,429 providers of this specialty with any payment received $1,030.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Access Community Health NetworkChicago, IL
- Mount Sinai Community FoundationChicago, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Carlos Sandoval-Herrera among 2,062 obstetrics & gynecology physician records in Illinois
Carlos Sandoval-Herrera, MD is one of 2,062 obstetrics & gynecology physician records with a practice address in Illinois. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 62% of them.
- NPI issued2011 · 62% of these records are older, 35% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2004 · median 2006 among the 1,168 with a school on file
- Record last updated2012 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207V00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
700 obstetrics & gynecology physician records list a practice address in Chicago
They are 700 of the 63,379 NPPES records with a practice address in Chicago, and 2,062 obstetrics & gynecology physician records in Illinois.
All 2,062 in Illinois → Every provider in Chicago → Obstetrics & Gynecology Physician nationwide →
The 8 obstetrics & gynecology physician records with the nearest ZIP codes
- Karla Clark, MDChicago, IL 606081598706699
- Marlene Green, M.D.Chicago, IL 606081447333166
- Theodore Jarrett, M.D.Chicago, IL 606081356435838
- Ian Jasenof, M.D.Chicago, IL 606081578509428
- Narendra Karmali, M.D.Chicago, IL 606081962504027
- David Michael, MDChicago, IL 606081457434144
- Patrick Michel, M.D.Chicago, IL 606081487639514
- Sylvia Moscoso, M.D.Chicago, IL 606081689649105
Common questions
What is Carlos Sandoval-Herrera, MD's NPI number?
Carlos Sandoval-Herrera, MD's National Provider Identifier (NPI) is 1316244817, issued on Feb 17, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Carlos Sandoval-Herrera, MD located?
The NPPES record lists a practice address at 3450 S Archer Ave, Chicago, IL, 60608. Phone: (773) 523-1000. Providers update this record themselves, so call before visiting.
How can I verify Carlos Sandoval-Herrera, MD's license?
NPPES lists Illinois license number 036125201, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Carlos Sandoval-Herrera, MD prescribe under Medicare Part D?
In 2024, Carlos Sandoval-Herrera, MD had 40 Medicare Part D claims for 13 beneficiaries; the average among obstetrics & gynecology physician prescribers was 165. Part D covers Medicare prescriptions only.
What is Carlos Sandoval-Herrera, MD's MIPS final score?
The 2023 MIPS final score is 80.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.