Individual provider Active NPI

Ryan B Sanford, M.D.

  • Nephrology Physician
  • Greensboro, NC
National Provider Identifier
1467653196
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
201000403 Issued in NC
Practice address
309 New Street
Greensboro, NC 27405-3654
Phone
(336) 379-9708
Fax
(336) 379-8714
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 201000403 NC Primary

Addresses

Primary practice location

309 New Street
Greensboro, NC 27405-3654

Mailing address

309 New Street
Greensboro, NC 27405-3654
Phone (336) 379-9708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20100810000428 NC Practitioner - NephrologyPractitioner - Internal Medicine 4981738192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Kidney Associates PAGroup PAC ID 8628979952, 19 clinicians

Practice addresses (Care Compare)

309 New St
Greensboro, NC 27405-3654
Phone (336) 379-9708

Hospital & facility affiliations

  • FMC - Greensboro Kidney Center Dialysis facility, Greensboro, NC, CCN 342504
  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201000403NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Kidney Associates Nephrology CurrentSince Jul 21, 2014 Accepting new patients
Carolina Kidney Associates PA Nephrology CurrentSince Jul 21, 2014 Accepting new patients

Locations

309 New St
Greensboro, NC 27405
Phone (336) 379-9708

1818 Richardson Dr
Ste E
Reidsville, NC 27320
Phone (336) 634-0095

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10065404
  • Direct secure messaging: ryansanford@cka.allscriptsdirect.net

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.

Hospital & facility affiliations 2

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1467653196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NEW STREET",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053654",
            "telephone_number": "336-379-9708",
            "fax_number": "336-379-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NEW STREET",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053654",
            "telephone_number": "336-379-9708",
            "fax_number": "336-379-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "RYAN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "201000403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.