Active NPI
Billy Grant Sanders, PA
- Medical Physician Assistant
- Choctaw, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1561
- Practice address
- 15679 NE 23Rd St
Choctaw, OK 73020-8592 - Phone
- (405) 390-9600
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1561 | OK | Primary |
Addresses
Primary practice location
15679 NE 23Rd St
Choctaw, OK 73020-8592
Mailing address
PO Box 10
Choctaw, OK 73020-0010
Phone (405) 390-9600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200100040A | Medicaid | OK | |
| OK400905 | Other | MEDICARE INDIVIDUAL PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15679 NE 23Rd St
Choctaw, OK 73020-8592
Phone (405) 390-9600
18961 NE 23Rd St
Harrah, OK 73045-8109
Phone (405) 390-1800
608 NW 9TH St
Oklahoma City, OK 73102-1049
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Oklahoma City
- SSM Health St Anthony Hospital - Midwest
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- Quality
- 80.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1561 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Choctaw Wellness Enterprises, LLC | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc | Past | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc. | Past | Accepting new patients |
Locations
15679 NE 23rd St
Choctaw, OK 73020
Phone (405) 390-1800
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818
Interoperability endpoints
- bsanders43820@direct-ehr-ssmhc.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1437195922
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
- Family Medicine Physician
- Choctaw, OK
- NPI 1346441896
-
- General Acute Care Hospital
- Midwest City, OK
- NPI 1700471497
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Midwest City, OK
- NPI 1700471497
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758412800000",
"number": "1164597860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "CHOCTAW",
"state": "OK",
"postal_code": "730200010",
"telephone_number": "405-390-9600",
"fax_number": "405-390-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15679 NE 23RD ST",
"city": "CHOCTAW",
"state": "OK",
"postal_code": "730208592",
"telephone_number": "405-390-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "BILLY",
"middle_name": "GRANT",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2025-09-21",
"certification_date": "2025-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "1561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200100040A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "OK400905",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Choctaw, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.