Todd M Sanderson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1017171 Issued in MA

Practice address

480 Maple St Ste 3a
Danvers, MA 01923-4067

Phone

(978) 406-4234

NPI assigned

Jun 26, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• North Shore Pediatrics, PC

  • Pediatrics Physician
  • Danvers, MA
  • NPI 1912047788
  NPD (past)
• SS Peds

  • Physical Therapy Clinic/Center
  • Danvers, MA
  • NPI 1033445549
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1437311990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST STE 3A",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234067",
            "telephone_number": "978-405-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST STE 3A",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234067",
            "telephone_number": "978-406-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "TODD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "1017171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110206645A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Salley, DPT
• Nimira Samji, OD
• Amanda Janine Sanchez
• Grace Olivia Sanders
• Martha Sanders
• Nancy Sands
• Stephanie Ann Sanford, NP-C, APRN, RN
• Brooke Ellen Sanidas
• Caron Sanphy, M.ED
• Lisa Santangelo, PHARMD

• Pediatrics Physician in Danvers, MA
• Providers in Danvers, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.