Todd A. Sandrock, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

TS012492 Issued in MI

Practice address

861 Health Park Blvd
Grand Blanc, MI 48439

Phone

(810) 953-0500

Fax

(810) 953-0031

NPI assigned

Jun 1, 2005

Last updated

Jun 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Orthopedic Surgery

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1987

Medicare assignment

May accept Medicare assignment

Group practices

Greater Flint Sports Medicine Center PCGroup PAC ID 2264332097, 11 clinicians

Ortho Xpress PLLCGroup PAC ID 9739577966, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

Merit-based Incentive Payment System (MIPS)

Final score

85.56 of 100Reported as group

Quality

80.15

Improvement activities

40

Cost

78.35

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: toddsandrock@gmoortho.directglo.com
• Direct secure messaging: tsandrock1150193@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ortho Xpress PLLC

  • Orthopaedic Surgery Physician
  • Grand Blanc, MI
  • NPI 1396334983
  Medicare reassignment Care Compare group NPD
• Greater Flint Sports Medicine Center PC

  dba Greater Michigan Orthopedics

  • Orthopaedic Surgery Physician
  • Grand Blanc, MI
  • NPI 1265459150
  Medicare reassignment Care Compare group
• Todd a Sandrock DO PC

  • Orthopaedic Surgery Physician
  • Flint, MI
  • NPI 1407020431
  Authorized official Same address or phone
• Greater Flint Sports Medicine Center

  • Orthopaedic Surgery Physician
  • Grand Blanc, MI
  • NPI 1760701106
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Genesys Hospital

  • General Acute Care Hospital
  • Grand Blanc, MI
  • NPI 1407877723
  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1235131541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 HEALTH PARK BLVD",
            "address_2": "SUITE 101",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397383",
            "telephone_number": "810-232-6190",
            "fax_number": "810-232-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 HEALTH PARK BLVD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "810-953-0500",
            "fax_number": "810-953-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDROCK",
        "first_name": "TODD",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "TS012492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MICHIGAN",
            "identifier": "20-5250218-5",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4304480",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C7778",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTCARE",
            "identifier": "F45154",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4577138",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "383602347",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
            "identifier": "383602347",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE NETWORK",
            "identifier": "P104439",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "930116191",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "F45154",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "0990587",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "131822",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Helene Samson, OTR/L, MBA, CWS
• Jalen Sanders
• Kathleen Mary Sanders, LMSW
• Kimberly Marie Sanderson
• Madison Sandrock, MA, CF-SLP
• Reginald Torrence Sandy, DO
• Todd Edwin Sanford, NP
• Suthan Kumar Sangarasivam, M.D.
• Guntas Sangha, MD
• Krystin Sankey, MS

• Orthopaedic Surgery Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.

Verify at the official NPI Registry.