Active NPI
Sanford Mayer Wolfe, DO
- Rheumatology Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- OH34002602
- Practice address
- 1 Elizabeth PL
Ste 230
Dayton, OH 45417-3445 - Phone
- (937) 223-4900
- Fax
- (937) 223-4420
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | OH34002602 | OH | Primary |
Addresses
Primary practice location
1 Elizabeth PL
Ste 230
Dayton, OH 45417-3445
Mailing address
3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3188
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000012368 | Other | OH | ANTHEM BCBS |
| 0634700 | Medicaid | OH | |
| 3220007 | Other | OH | UNITED HEALTHCARE |
| 010015697 | Other | GA | RAILROAD MEDICARE |
| 1123456789000 | Other | MEDICAL MUTUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- College of Osteopathic Physicians and Surgeons of Los Angeles, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Lakeview Dr
Suite 100
Beavercreek, OH 45431-2581
Phone (937) 429-4369
2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831
600 Aviator CT
Suite 250
Vandalia, OH 45377-9476
Phone (937) 223-4900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.23 of 100
- Quality
- 83.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH34002602 | OH | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Current | Accepting new patients | |
| Mvhe Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Mvhe Inc | Past | Accepting new patients |
Locations
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
1 Elizabeth Pl
Ste 230
Dayton, OH 45417
Phone (937) 222-2233
600 Aviator Ct
Ste 250
Vandalia, OH 45377
Phone (937) 223-4900
Organizations & group practices 4
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
- Moraine, OH
- NPI 1659504785
-
- Internal Medicine Physician
- Middletown, OH
- NPI 1497154827
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Hospitalist Physician
- Dayton, OH
- NPI 1356394795
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1255390233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 KETTERING BLVD BLDG B3",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391924",
"telephone_number": "937-991-3188",
"fax_number": "991-223-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELIZABETH PL",
"address_2": "STE 230",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173445",
"telephone_number": "937-223-4900",
"fax_number": "937-223-4420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "SANFORD",
"middle_name": "MAYER",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "OH",
"license": "OH34002602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000012368",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0634700",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3220007",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "010015697",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "1123456789000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.