Individual provider Active NPI

William R Sanderson, M.D.

  • Specialist
  • Mobile, AL
National Provider Identifier
1164407136
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18054 Issued in AL
Practice address
100 Memorial Hospital Dr Ste 2a
Mobile, AL 36608-1199
Phone
(251) 343-9090
Fax
(251) 380-1015
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18054 AL Primary

Addresses

Primary practice location

100 Memorial Hospital Dr Ste 2a
Mobile, AL 36608-1199

Mailing address

3719 Dauphin St
Suite 100
Mobile, AL 36608-1753
Phone (251) 343-9090

Other identifiers 1

IdentifierTypeStateIssuer
000027023MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050523000231 AL Practitioner - Urology 1850287780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Southwestern Medical School at Dallas, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates of Mobile, P.a.Group PAC ID 3870497951, 60 clinicians

Practice addresses (Care Compare)

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 433-1895

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
77.29
Promoting interoperability
100
Improvement activities
40
Cost
78.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18054ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Mobile, P.a. CurrentSince Jan 27, 2023 Accepting new patients

Locations

100 Memorial Hospital Dr
Ste 1A
Mobile, AL 36608
Phone (251) 343-6848

3719 Dauphin St
Ste 100
Mobile, AL 36608
Phone (251) 414-5665

168 Mobile Infirmary Blvd
Mobile, AL 36607
Phone (251) 633-3617

100 Memorial Hospital Dr
Ste 2A
Mobile, AL 36608
Phone (251) 344-2762

Interoperability endpoints

  • Direct secure messaging: williamsanderson@uam.allscriptsdirect.net

Organizations & group practices 1

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 8

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1164407136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "address_2": "SUITE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-343-9090",
            "fax_number": "251-380-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEMORIAL HOSPITAL DR STE 2A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081199",
            "telephone_number": "251-343-9090",
            "fax_number": "251-380-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "18054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000027023",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.