Active NPI
Drew Sanderson, MD
- Pediatrics Physician
- Georgetown, TX
National Provider Identifier
1205522539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- W7123
- Practice address
- 940 W University Ave Ste 101
Georgetown, TX 78626-5430 - Phone
- (512) 819-0264
- Fax
- (512) 406-6242
- NPI assigned
- Apr 11, 2023
- Last updated
- Sep 14, 2026
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | W7123 | TX | Primary |
Addresses
Primary practice location
940 W University Ave Ste 101
Georgetown, TX 78626-5430
Mailing address
6210 E Hwy 290
Austin, TX 78723-1098
Phone (512) 483-9596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240410000318 | TX | Order and Referring Only - Pediatric Medicine | 8224476288 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W7123 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1205522539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 E HWY 290",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231098",
"telephone_number": "512-483-9596",
"fax_number": "512-406-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 W UNIVERSITY AVE STE 101",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786265430",
"telephone_number": "512-819-0264",
"fax_number": "512-406-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERSON",
"first_name": "DREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-11",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "W7123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.