Active NPI
Cynthia Sandona, D.O.
- Surgery Physician
- Farmington Hills, MI
National Provider Identifier
1356453617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 011366
- Practice address
- 28080 Grand River Ave
Suite 204 N
Farmington Hills, MI 48336-5966 - Phone
- (248) 478-7767
- Fax
- (248) 478-5727
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 011366 | MI | Primary |
Addresses
Primary practice location
28080 Grand River Ave
Suite 204 N
Farmington Hills, MI 48336-5966
Mailing address
28080 Grand River Ave
Suite 204 N
Farmington Hills, MI 48336-5966
Phone (248) 478-7767
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0256302775 | Other | MI | BLUE CROSS OF MI |
| OM25740 | Other | MI | MEDICARE RAILROAD |
| 3243601 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28080 Grand River Ave
Suite 204N
Farmington Hills, MI 48336-5966
Phone (248) 478-7767
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 43 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 16 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 19 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011366 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ray Pastor DO PC | Surgery | Current | Accepting new patients |
| Harris W. Mainster, D.O./P.C. | Surgery | Current | Accepting new patients |
Locations
28080 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
28080 Grand River Ave
Ste 204N
Farmington Hills, MI 48336
Phone (248) 478-7767
28080 Grand River Ave
Ste 204
Farmington Hills, MI 48336
Phone (248) 478-7767
Interoperability endpoints
- csandona@direct.dmc.org
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.
-
- Surgery Physician
- Farmington Hills, MI
- NPI 1063256576
-
- Surgery Physician
- Farmington Hills, MI
- NPI 1205948510
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1356453617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28080 GRAND RIVER AVE",
"address_2": "SUITE 204 N",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365966",
"telephone_number": "248-478-7767",
"fax_number": "248-478-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28080 GRAND RIVER AVE",
"address_2": "SUITE 204 N",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365966",
"telephone_number": "248-478-7767",
"fax_number": "248-478-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDONA",
"first_name": "CYNTHIA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "011366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MI",
"identifier": "0256302775",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "OM25740",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3243601",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.