Individual provider Active NPI

Sanford Howard Sklar, MD

  • Pulmonary Disease Physician
  • Farmington Hills, MI
National Provider Identifier
1356349427
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301047326 Issued in MI
Practice address
29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817
Phone
(248) 350-2722
Fax
(248) 350-0154
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301047326 MI Primary

Addresses

Primary practice location

29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817

Mailing address

29275 W 10 Mile Rd
Farmington Hills, MI 48336-2817
Phone (248) 350-2722

Other identifiers 5

IdentifierTypeStateIssuer
4218149MedicaidMI
4967802MedicaidMI
CE4301OtherMIMEDICARE, RAILROAD
0F34972OtherMIMEDICARE CPC
290F349720OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060421000555 MI Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9537057575 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Sleep & Pulmonary Medicine PLLC Pulmonary Disease CurrentSince Aug 8, 2013 Accepting new patients
Beaumont Medical Group- Specialty Services Past Accepting new patients
Pulmonary & Critical Care Associates PC Pulmonary Disease Past Accepting new patients
Pulmonary & Critical Care Specialists, P.C. Pulmonary Disease Past Accepting new patients
Canton Asthma & Allergy PC Past Accepting new patients

Locations

29275 W 10 Mile Rd
Farmington Hills, MI 48336
Phone (248) 350-2722

Interoperability endpoints

  • Direct secure messaging: sanfordsklar@cspm.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFJBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBBDA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1356349427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29275 W 10 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362817",
            "telephone_number": "248-350-2722",
            "fax_number": "248-350-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29275 W 10 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362817",
            "telephone_number": "248-350-2722",
            "fax_number": "248-350-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLAR",
        "first_name": "SANFORD",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301047326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4218149",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4967802",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, RAILROAD",
            "identifier": "CE4301",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CPC",
            "identifier": "0F34972",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "290F349720",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.