Individual provider Active NPI

Stephen E Sandwell, MD

  • Neurological Surgery Physician
  • Huntsville, AL
National Provider Identifier
1477525970
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
37118 Issued in AL
Practice address
201 Governors Dr SW FL 1
Huntsville, AL 35801
Phone
(256) 533-1600
Fax
(256) 539-0856
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA722 KY
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X 281802-1 NY
Neurological Surgery Physician 207T00000X 37118 AL Primary

Addresses

Primary practice location

201 Governors Dr SW FL 1
Huntsville, AL 35801

Mailing address

201 Governors Dr SW FL 1
Huntsville, AL 35801-5171
Phone (256) 533-1600

Other identifiers 6

IdentifierTypeStateIssuer
216388MedicaidAL
970028451OtherKYRR MCARE
216728MedicaidAL
000000243993OtherKYBCBS PIN #
216493MedicaidAL
9500292900MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180815003794 AL Practitioner - Neurosurgery 4981707486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Louisville School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntsville Hospital Spine and Neuro CenterGroup PAC ID 7214221464, 33 clinicians

Practice addresses (Care Compare)

201 Governors Dr SW
FL 1
Huntsville, AL 35801-5171
Phone (256) 533-1600

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079
  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as apm
Quality
82.81
Promoting interoperability
83.07
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion74
Laminectomy or laminotomy (partial removal of spine bones)21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281802-1NYMDNeurological Surgery Physician
PA722KYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Hospital Spine and Neuro Center CurrentSince Jul 1, 2018 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Locations

402 E Dr Hicks Blvd
Florence, AL 35630
Phone (256) 349-5187

201 Governors Dr SW
Fl 1
Huntsville, AL 35801
Phone (256) 533-8100

Interoperability endpoints

  • Direct secure messaging: ssandwell@sanc-al.direct.office.nextgen.com

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 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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1477525970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GOVERNORS DR SW FL 1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015171",
            "telephone_number": "256-533-1600",
            "fax_number": "565-390-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOVERNORS DR SW FL 1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-533-1600",
            "fax_number": "256-539-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDWELL",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA722",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "281802-1",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "37118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216388",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "970028451",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216728",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "000000243993",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216493",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9500292900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.