Individual provider Active NPI

Michelle Sanders, MD

  • Pediatrics Physician
  • Westford, MA
National Provider Identifier
1164419347
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
213796 Issued in MA
Practice address
133 Littleton Rd
Suite 101
Westford, MA 01886-3198
Phone
(978) 577-0437
Fax
(978) 692-9904
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 213796 MA Primary

Addresses

Primary practice location

133 Littleton Rd
Suite 101
Westford, MA 01886-3198

Mailing address

133 Littleton Rd
Suite 101
Westford, MA 01886-3198
Phone (978) 577-0437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040330000089 MA Practitioner - Pediatric Medicine 4587556832 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213796MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics West, PC Pediatrics CurrentSince Feb 15, 2018 Accepting new patients

Locations

133 Littleton Rd
Ste 101
Westford, MA 01886
Phone (978) 577-0437

Interoperability endpoints

  • Direct secure messaging: msanders31480@tuftsmedicine.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1164419347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "address_2": "SUITE 101",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863198",
            "telephone_number": "978-577-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "address_2": "SUITE 101",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863198",
            "telephone_number": "978-577-0437",
            "fax_number": "978-692-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "213796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

Verify at the official NPI Registry.