Individual provider Active NPI

David G Sandberg, DPM

  • Podiatrist
  • Knoxville, TN
National Provider Identifier
1336157239
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM0000000495 Issued in TN
Practice address
939 E Emerald Ave
Suite 706
Knoxville, TN 37917
Phone
(865) 523-5655
Fax
(865) 523-4882
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM0000000495 TN Primary

Addresses

Primary practice location

939 E Emerald Ave
Suite 706
Knoxville, TN 37917

Mailing address

939 E Emerald Ave
Suite 706
Knoxville, TN 37917
Phone (865) 523-5655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004001213 TN Practitioner - Podiatry 9436046414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandberg Foot Health Center PCGroup PAC ID 2668369638, 6 clinicians

Practice addresses (Care Compare)

501 19TH St
Suite 601
Knoxville, TN 37916-1852
Phone (865) 523-5655

Hospital & facility affiliations

  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue53
Removal of skin lesions1-10
Removal of nail tissue241
Removal or shaving of skin growth121
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM0000000495TNMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandberg Foot Health Center PC Podiatrist CurrentSince Sep 1, 1998 Accepting new patients
Sandberg Foot Health Center PC Podiatrist CurrentSince Sep 1, 1998 Accepting new patients

Locations

9301 Park West Blvd
Ste A2
Knoxville, TN 37923
Phone (865) 693-5450

501 19th St
Ste 601
Knoxville, TN 37916
Phone (865) 521-7662

9330 Park West Blvd
Ste 300
Knoxville, TN 37923
Phone (865) 523-5655

101 E Blount Ave
Ste 600
Knoxville, TN 37920
Phone (865) 523-5655

1928 Alcoa Hwy
Ste 200
Knoxville, TN 37920
Phone (865) 523-5655

1030 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 482-7730

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1336157239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 E EMERALD AVE",
            "address_2": "SUITE 706",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37917",
            "telephone_number": "865-523-5655",
            "fax_number": "865-523-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 E EMERALD AVE",
            "address_2": "SUITE 706",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37917",
            "telephone_number": "865-523-5655",
            "fax_number": "865-523-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM0000000495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.