Provider Type Icon

DR. JASON B SANDERS M.D. NPI 1619946738


NPI Information

NPI: 1619946738
Provider Name: DR. JASON B SANDERS, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1132 N CHURCH ST
GREENSBORO, NC
ZIP 27401
Phone: (336) 369-7100
Get Directions

DR. Jason B Sanders, M.D. is a specialist in Greensboro, NC with 25 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jason B Sanders, M.D. NPI is 1619946738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1999

The provider's business location address is:

1132 N CHURCH ST
GREENSBORO, NC
ZIP 27401-039
Phone: (336) 369-7100
Fax: (336) 369-7101

The NPI 1619946738 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic imaging of retina (HCPCS:92134)
  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

The enumeration date for this NPI number is 3/14/2006 and was last updated on 6/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistSC TL27619SOUTH CAROLINANo
2174400000XSpecialistNC 2005-00329NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H84822MEDICARE UPIN
20264730005MEDICARE NSCNORTH CAROLINA
3140NWOTHERNORTH CAROLINABCBS
432567OTHERNEW YORKCIGNA
5E333650310OTHERNORTH CAROLINAMECOST
6P00230758OTHERRAILROAD MEDICARE
75901630MEDICAIDNORTH CAROLINA
8806691OTHERNORTH CAROLINACOMMUNITY EYE CARE
97521438OTHERNORTH CAROLINAAETNA
102041481MEDICARE PINNORTH CAROLINA
110264730001MEDICARE NSCNORTH CAROLINA
12AA09475874MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.