Individual provider Active NPI

Cristina Marie Sanders, D.O.

  • Pediatric Rehabilitation Medicine Physician
  • Lubbock, TX
National Provider Identifier
1487901146
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
P5718 Issued in TX
Practice address
3601 4TH St Ste 3A105
Lubbock, TX 79430-0002
Phone
(806) 743-2391
Fax
(806) 743-5687
NPI assigned
Aug 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X P5718 TX Primary
Physical Medicine & Rehabilitation Physician 208100000X 5101022128 MI

Addresses

Primary practice location

3601 4TH St Ste 3A105
Lubbock, TX 79430-0002

Mailing address

PO Box 27476
Salt Lake City, UT 84127-0476
Phone (806) 743-2898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180717003391 SD Practitioner - Physical Medicine and Rehabilitation 4486954005 Reassigns benefits to 1 organization
I20231114003550 TX Practitioner - Physical Medicine and Rehabilitation 4486954005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Rapid City Hospital IncGroup PAC ID 6002729506, 560 clinicians

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 1, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jun 13, 2018 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 1, 2023 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 13, 2018 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700

3601 4th St
Ste 3A105
Lubbock, TX 79430
Phone (806) 743-2391

4102 24th St
Ste 302
Lubbock, TX 79410
Phone (806) 743-7335

4302 Princeton St
Lubbock, TX 79415
Phone (806) 740-8400

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1487901146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27476",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270476",
            "telephone_number": "806-743-2898",
            "fax_number": "806-743-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STE 3A105",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-2391",
            "fax_number": "806-743-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CRISTINA",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-12",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "TX",
            "license": "P5718",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101022128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.