Individual provider Active NPI

Richard J Sanders, M.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1013130699
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35051345 Issued in OH
Practice address
3645 Stonecreek Blvd Unit D
Cincinnati, OH 45251-1469
Phone
(513) 923-2300
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35051345 OH Primary

Addresses

Primary practice location

3645 Stonecreek Blvd Unit D
Cincinnati, OH 45251-1469

Mailing address

2415 Auburn Ave
Cincinnati, OH 45219-2701
Phone (513) 221-4949

Other practice location 1

1064 State Route 28 Ste F
Milford, OH 45150-4940
Phone (513) 981-4050

Other identifiers 2

IdentifierTypeStateIssuer
0875325MedicaidOH
P00665515OtherOHMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051116000862 OH Practitioner - Internal Medicine 2961421136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Urgent Care LLCGroup PAC ID 6406232230, 67 clinicians

Practice addresses (Care Compare)

1064 State Route 28
Unit F
Milford, OH 45150-4940
Phone (513) 981-4050

Hospital & facility affiliations

  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35051345OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Urgent Care LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Columbus Radiology Corp Past Accepting new patients
Edelstein Physical Therapy, LLC Past Accepting new patients

Locations

3645 Stone Creek Blvd
Unit D
Cincinnati, OH 45251
Phone (513) 429-4903

5555 Glenway Ave
Ste 1090
Cincinnati, OH 45238
Phone (513) 981-4200

454 Ohio Pike
Unit 38
Cincinnati, OH 45255
Phone (513) 981-4201

8593 Winton Rd
Cincinnati, OH 45231
Phone (513) 952-5000

3300 Princeton Rd
Fairfield Township, OH 45011
Phone (513) 868-9999

1 N Brookwood Ave
Hamilton, OH 45013
Phone (513) 805-4499

1064 State Route 28
Ste F
Milford, OH 45150
Phone (513) 981-4050

Interoperability endpoints

  • Direct secure messaging: rsanders2370056@direct.bsmhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1013130699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192701",
            "telephone_number": "513-221-4949",
            "fax_number": "513-241-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 STONECREEK BLVD UNIT D",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511469",
            "telephone_number": "513-923-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1064 State Route 28 Ste F",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451504940",
            "country_code": "US",
            "telephone_number": "513-981-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-08-16",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35051345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0875325",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00665515",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.