Individual provider Active NPI

Katy Renee Sanderson

  • Obstetrics & Gynecology Physician
  • North Chesterfield, VA
National Provider Identifier
1265826473
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101266375 Issued in VA
Practice address
1212 Koger Center Blvd
North Chesterfield, VA 23235-4778
Phone
(804) 897-2100
Fax
(804) 897-9074
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0101266375 VA Primary

Addresses

Primary practice location

1212 Koger Center Blvd
North Chesterfield, VA 23235-4778

Mailing address

1212 Koger Center Blvd
North Chesterfield, VA 23235-4778
Phone (804) 897-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190813001898 VA Practitioner - Obstetrics/Gynecology 5496062358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians for Women, LTDGroup PAC ID 8628057924, 46 clinicians

Practice addresses (Care Compare)

1212 Koger Ctr Blvd
North Chesterfield, VA 23235-4778
Phone (804) 897-2100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians for Women LTD Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Complete Care Center for Women, LLC Single Specialty Past Accepting new patients

Locations

13801 St Francis Blvd
Ste 150
Midlothian, VA 23114

1212 Koger Center Blvd
North Chesterfield, VA 23235
Phone (804) 408-4654

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/610/brand/3/csg/45/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.405

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1265826473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 KOGER CENTER BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354778",
            "telephone_number": "804-897-2100",
            "fax_number": "804-897-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 KOGER CENTER BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354778",
            "telephone_number": "804-897-2100",
            "fax_number": "804-897-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "KATY",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101266375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.