Individual provider Active NPI

Andrew Sanders Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Leesburg, VA
National Provider Identifier
1023354917
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024173169 Issued in VA
Practice address
44045 Riverside Pkwy
Inova Loudoun Hospital
Leesburg, VA 20176-5101
Phone
(703) 858-6000
NPI assigned
Dec 20, 2012
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP136022 TX
Certified Registered Nurse Anesthetist 367500000X 0024173169 VA Primary

Addresses

Primary practice location

44045 Riverside Pkwy
Inova Loudoun Hospital
Leesburg, VA 20176-5101

Mailing address

2701 Lakeside Pkwy
Apt 300
Flower Mound, TX 75022-4375
Phone (919) 882-0705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, GA, MO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180619003374 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143529982 Reassigns benefits to 3 organizations
I20210805002542 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143529982 Reassigns benefits to 1 organization
I20210816001939 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143529982 Reassigns benefits to 1 organization
I20260217000864 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143529982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Uniformed Services Uhs Fe Hebert School of Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

1030 W 24TH St
Suite H
Yuma, AZ 85364-8384
Phone (928) 210-9165

330 Standridge Blvd
Anna, TX 75409-3423
Phone (214) 831-1300

830 Eagles Landing Pkwy
Suite 101
Stockbridge, GA 30281-7366
Phone (402) 779-6135

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Interventional Pain Management, P.L.L.C CurrentSince May 1, 2019 Accepting new patients
Orthomed Staffing LLC CurrentSince Mar 17, 2020 Accepting new patients
Vertex Anesthesia, PLLC CurrentSince Oct 15, 2019 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince May 1, 2019 Accepting new patients
Arcadia Anesthesia PA CurrentSince Apr 1, 2021 Accepting new patients

Locations (25 of 56)

1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

830 Eagles Landing Pkwy
Ste 101
Stockbridge, GA 30281
Phone (402) 779-6135

135 N Park Pl
Ste 100
Stockbridge, GA 30281
Phone (256) 438-8160

305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607

2752 Century Blvd
Wyomissing, PA 19610
Phone (610) 378-8800

1280 Broadcasting Rd
Wyomissing, PA 19610
Phone (215) 949-3100

17051 Dallas Pkwy
Ste 100
Addison, TX 75001
Phone (469) 718-5260

330 N Standridge Blvd
Anna, TX 75409
Phone (214) 831-1300

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

7000 N Mopac Expy
Ste 120
Austin, TX 78731
Phone (512) 342-0900

110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006

112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

9301 N Central Expy
Ste 685
Dallas, TX 75231
Phone (214) 212-0158

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

8111 Meadow Rd
Dallas, TX 75231
Phone (214) 471-5975

461 Westpark Way
Euless, TX 76040
Phone (817) 540-1755

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225

2321 Olympia Dr
Ste 100
Flower Mound, TX 75028
Phone (972) 350-0225

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

416 S Henderson St
Ft Worth, TX 76104
Phone (682) 478-8123

Organizations & group practices 5

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

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": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1023354917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 LAKESIDE PKWY",
            "address_2": "APT 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224375",
            "telephone_number": "919-882-0705",
            "fax_number": "919-873-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44045 RIVERSIDE PKWY",
            "address_2": "INOVA LOUDOUN HOSPITAL",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201765101",
            "telephone_number": "703-858-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP136022",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024173169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.