Individual provider Active NPI

Sandra K Harewood, M.D.

  • Internal Medicine Physician
  • Vandalia, OH
National Provider Identifier
1063685014
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.090989 Issued in OH
Practice address
235 W National Rd
Vandalia, OH 45377-1969
Phone
(937) 898-3600
Fax
(937) 898-2731
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.090989 OH Primary

Addresses

Primary practice location

235 W National Rd
Vandalia, OH 45377-1969

Mailing address

235 W National Rd.
Vandalia, OH 45377-1969
Phone (937) 898-3600

Other identifiers 3

IdentifierTypeStateIssuer
HA0825573OtherOHMEDICARE PTAN
35.090989OtherOHSTATE MEDICAL BOARD
0861232MedicaidOH

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
I20081208000107 OH Practitioner - Internal Medicine 2769543800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Communikare Behavioral Health Services LLCGroup PAC ID 9234561838, 7 clinicians

Practice addresses (Care Compare)

1320 Woodman Dr
Dayton, OH 45432-3497
Phone (937) 223-1781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Communikare Behavioral Health Services LLC CurrentSince Mar 18, 2024 Accepting new patients
Wellness Card LLC CurrentSince Jan 23, 2024 Accepting new patients
Communikare Behavioral Health Services LLC CurrentSince Mar 18, 2024 Accepting new patients

Locations

1320 Woodman Dr
Dayton, OH 45432
Phone (937) 223-1781

1320 Woodman Dr
Ste 100
Dayton, OH 45432
Phone (937) 252-9967

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.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1063685014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W NATIONAL RD.",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771969",
            "telephone_number": "937-898-3600",
            "fax_number": "937-898-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W NATIONAL RD",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771969",
            "telephone_number": "937-898-3600",
            "fax_number": "937-898-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAREWOOD",
        "first_name": "SANDRA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.090989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HA0825573",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL BOARD",
            "identifier": "35.090989",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0861232",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

Verify at the official NPI Registry.