NPIMap

Individual provider Active NPI

Karl P Sandberg, M.D.

  • Family Medicine Physician
  • Ola, AR
National Provider Identifier
1366479818
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E1317 Issued in AR
Practice address
402 S Scenic 7 Dr
Ola, AR 72853-8852
Phone
(479) 489-5126
Fax
(479) 489-5174
NPI assigned
Jun 27, 2006
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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 E1317 AR Primary

Addresses

Primary practice location

402 S Scenic 7 Dr
Ola, AR 72853-8852

Mailing address

PO Box 639
Danville, AR 72833-0639
Phone (479) 495-2241

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karl.sandberg@cmc.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20070329000659 AR Practitioner - General PracticePractitioner - Family Practice 5698879724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Loma Linda University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

402 S Scenic 7 Dr
Scenic 7 Medical Clinic
Ola, AR 72853-8852
Phone (479) 489-5126

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
65.03
Promoting interoperability
99
Improvement activities
40
Cost
76.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E1317ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Ed Chambers Memorial Hospital, Inc. Current Accepting new patients
John Ed Chambers Memorial Hospital, Inc CurrentSince Jul 1, 1997 Accepting new patients
John Ed Chambers Memorial Hospital, Inc. CurrentSince Jul 1, 1997 Accepting new patients
Petit Jean Emergency Physicians Past Accepting new patients
Dardanelle Emergency Medicine LLC Past Accepting new patients

Locations

719 Detroit Ave
Danville, AR 72833
Phone (479) 495-2241

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHBCA/Endpoint/ACHBCA
  • Direct secure messaging: karl.sandberg@cmc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1366479818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728330639",
            "telephone_number": "479-495-2241",
            "fax_number": "479-495-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S SCENIC 7 DR",
            "city": "OLA",
            "state": "AR",
            "postal_code": "728538852",
            "telephone_number": "479-489-5126",
            "fax_number": "479-489-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "KARL",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E1317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karl.sandberg@cmc.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Scenic 7 Medical Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV, HTML",
            "address_1": "402 S Scenic 7 Dr",
            "city": "Ola",
            "state": "AR",
            "country_code": "US",
            "postal_code": "728538852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ola, AR

Sources for this page

Verify at the official NPI Registry.