NPIMap

Individual provider Active NPI

David W Sanger, MD

  • Family Medicine Physician
  • Ellinwood, KS
National Provider Identifier
1306896972
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-29865 Issued in KS
Practice address
300 N Park Ave
Ellinwood, KS 67526-1452
Phone
(620) 564-3771
Fax
(620) 564-2491
NPI assigned
May 12, 2006
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-29865 KS Primary

Addresses

Primary practice location

300 N Park Ave
Ellinwood, KS 67526-1452

Mailing address

300 N Park Ave
Ellinwood, KS 67526-1452
Phone (620) 564-3771

Other identifiers 3

IdentifierTypeStateIssuer
100446760LMedicaidKS
100446760DMedicaidKS
100446760FMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000215 KS Practitioner - Family Practice 8224920467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Plains of Ellinwood IncGroup PAC ID 5092627539, shared by 3 NPIs, 13 clinicians

Practice addresses (Care Compare)

300 N Park Ave
Ellinwood, KS 67526-1452

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-29865KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains of Ellinwood Inc. CurrentSince Mar 3, 2025 Accepting new patients
Great Plains of Ellinwood, Inc. CurrentSince Jan 21, 2025 Accepting new patients
Great Plains of Ellinwood Inc. CurrentSince Jan 21, 2025 Accepting new patients
St. Joseph Memorial Hospital, Inc. Family Medicine Past Accepting new patients
Central Kansas Medical Center Family Medicine Past Accepting new patients
Anesthesia Consulting Services, PA Past Accepting new patients
St. Joseph Memorial Hospital, Inc. Past Accepting new patients

Locations

300 N Park Ave
Ellinwood, KS 67526
Phone (620) 564-2548

605 N Main St
Ellinwood, KS 67526
Phone (620) 564-2548

Organizations & group practices 7

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.

Hospital & facility affiliations 11

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1306896972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N PARK AVE",
            "city": "ELLINWOOD",
            "state": "KS",
            "postal_code": "675261452",
            "telephone_number": "620-564-3771",
            "fax_number": "620-564-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N PARK AVE",
            "city": "ELLINWOOD",
            "state": "KS",
            "postal_code": "675261452",
            "telephone_number": "620-564-3771",
            "fax_number": "620-564-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGER",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-29865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100446760L",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100446760D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100446760F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellinwood, KS

Sources for this page

Verify at the official NPI Registry.