Karl P Sandberg, M.D.
Individual provider Active NPI Family Medicine Physician · Ola, AR
NPI 1366479818 · NPPES record last updated Sep 20, 2021
Key facts
- NPI
- 1366479818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E1317 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Loma Linda University School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- John Ed Chambers Memorial Hospital Inc
Practice addresses (Care Compare)
402 S Scenic 7 Dr
Scenic 7 Medical Clinic
Ola, AR 72853-8852
Phone (479) 489-5126
Hospital & facility affiliations
- John Ed Chambers Memorial Inc HHA
- Chambers Memorial Hospital
- Mitchell's Nursing Home, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.36 of 100
- Quality
- 65.03
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.57
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070329000659 | AR | Practitioner - General Practice |
5698879724 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1317 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Ed Chambers Memorial Hospital, Inc | Current |
Accepting new patients | |
| John Ed Chambers Memorial Hospital, Inc. | Current | Accepting new patients | |
| John Ed Chambers Memorial Hospital, Inc. | Current |
Accepting new patients | |
| John Ed Chambers Memorial Hospital | Past | Accepting new patients | |
| Dardanelle Emergency Medicine LLC | Past | Accepting new patients | |
| Petit Jean Emergency Physicians | Past | Accepting new patients |
Locations
719 Detroit Ave
Danville, AR 72833
Phone (479) 495-2241
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACHBCA/Endpoint/ACHBCA
- karl.sandberg@cmc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E1317 | AR | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131589001 | Medicaid | AR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | karl.sandberg@cmc.eclinicaldirectplus.com | Direct |
Other providers in Ola, AR
- Cobb Drug Store
- Cobbs Drug Store
- Deerview
- John Ed Chambers Memorial Hospital, Inc.
- Ola Ops, Inc.
- Tippin Surgical Supply
- Two Rivers School District H
- Yell County Nursing Home Inc
- Yell County Special Services Center, Inc.
All providers in Ola, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.