NPIMap

Individual provider Active NPI

Marilyn B Sandford, MD

  • Surgery Physician
  • Anchorage, AK
National Provider Identifier
1427012244
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5058 Issued in AK
Practice address
3851 Piper St
Suite U-462
Anchorage, AK 99508-4684
Phone
(907) 562-6262
Fax
(907) 562-6267
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5058 AK Primary

Addresses

Primary practice location

3851 Piper St
Suite U-462
Anchorage, AK 99508-4684

Mailing address

3851 Piper St
Suite U-462
Anchorage, AK 99508-4684
Phone (907) 562-6262

Other identifiers 1

IdentifierTypeStateIssuer
MD54681MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20050714000249 AK Practitioner - General Surgery 6002842721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Chicago, Pritzker School of Medicine, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Alaska Breast Care and Surgery LLCGroup PAC ID 9032211073, 5 clinicians

Practice addresses (Care Compare)

3851 Piper St
Suite U462
Anchorage, AK 99508-6905
Phone (907) 562-6262

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as individual
Quality
87.23
Improvement activities
40
Cost
82.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy65
Melanoma (skin cancer) excision18
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5058AKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Breast Care and Surgery LLC Surgery CurrentSince Sep 28, 2006 Accepting new patients
Anchorage Women'S Clinic, LLC PastSince May 2, 2011 Accepting new patients
Obhg Alaska, P.C. Past Accepting new patients

Locations

3851 Piper St
Ste U462
Anchorage, AK 99508
Phone (907) 562-6262

Interoperability endpoints

  • Direct secure messaging: marilyn.sandford.1@22556.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22556/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 5

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1427012244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST",
            "address_2": "SUITE U-462",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084684",
            "telephone_number": "907-562-6262",
            "fax_number": "907-562-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST",
            "address_2": "SUITE U-462",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084684",
            "telephone_number": "907-562-6262",
            "fax_number": "907-562-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDFORD",
        "first_name": "MARILYN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "5058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD54681",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.