Active NPI
Rebecca L. Sanderson, MD
- Orthopaedic Surgery Physician
- Petersburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101257948
- Practice address
- 3335 S Crater Rd Ste 500
Petersburg, VA 23805-9396 - Phone
- (804) 504-4610
- Fax
- (804) 709-0041
- NPI assigned
- Jun 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 12792808-1205 | UT | |
| Orthopaedic Surgery Physician | 207X00000X | 0101257948 | VA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | DR.0062586 | CO |
Addresses
Primary practice location
3335 S Crater Rd Ste 500
Petersburg, VA 23805-9396
Mailing address
PO Box 639969
Cincinnati, OH 45263-9969
Other practice location 1
4102 Pinion Dr
Usaf Academy, CO 80840
Phone (719) 333-5040
Other practice location 2
51 MDG
Unit 2060
Apo, AP 96278-2060
Phone (031) 661-2546
Other practice location 3
51 MDG
Unit 2060
Apo, AP 96278-2060
Phone (031) 661-2546
Other practice location 4
590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone (801) 587-5448
Other practice location 5
401 N 11th St
Ortho: Orthopaedic Surgery Clinic
Richmond, VA 23298-5024
Phone (804) 828-7394
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RSANDERSON580357@DIRECT.MED.UTAH.EDU | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Virginia Commonwealth University, School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 N 28TH St
Richmond, VA 23223-5311
40 Medical Park Blvd
Petersburg, VA 23805-9289
44 Medical Park Blvd
Petersburg, VA 23805-9351
Hospital & facility affiliations
- Bon Secours Southside Medical Center
- Bon Secours St Francis Medical Center
- Bon Secours Southern Virginia Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0062586 | CO | MD | Orthopaedic Surgery Physician |
| 0101257948 | VA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Richmond Specialty Care LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Bon Secours Medical Group Richmond Specialty Care LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
3335 S Crater Rd
Ste 500
Petersburg, VA 23805
Phone (804) 504-4610
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
Interoperability endpoints
- rsanderson580357@direct.med.utah.edu
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.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
Orthopaedic Surgery
-
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
- NPI 1841029287
Orthopaedic Surgery
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Emporia, VA
- NPI 1104461276
-
- General Acute Care Hospital
- Petersburg, VA
- NPI 1720623853
-
- Obstetrics & Gynecology Physician
- Midlothian, VA
- NPI 1003849381
Hospital
-
- General Acute Care Hospital
- Midlothian, VA
- NPI 1447212592
-
- Endocrinology, Diabetes & Metabolism Physician
- Colonial Heights, VA
- NPI 1518244854
Hospital
-
- Internal Medicine Physician
- Midlothian, VA
- NPI 1053698399
Hospital
-
- Family Medicine Physician
- Midlothian, VA
- NPI 1497788806
Hospital
-
- Family Medicine Physician
- Chester, VA
- NPI 1801173141
Hospital
-
- Family Medicine Physician
- Powhatan, VA
- NPI 1891071965
Hospital
-
- Family Medicine Physician
- Richmond, VA
- NPI 1225265630
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1508203449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639969",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3335 S CRATER RD STE 500",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059396",
"telephone_number": "804-504-4610",
"fax_number": "804-709-0041"
}
],
"practiceLocations": [
{
"address_1": "4102 Pinion Dr",
"address_purpose": "LOCATION",
"city": "Usaf Academy",
"state": "CO",
"postal_code": "80840",
"country_code": "US",
"telephone_number": "719-333-5040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "51 MDG",
"address_2": "Unit 2060",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "962782060",
"country_code": "US",
"telephone_number": "031-661-2546",
"country_name": "United States",
"address_type": "MIL"
},
{
"address_1": "51 MDG",
"address_2": "Unit 2060",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "962782060",
"country_code": "US",
"telephone_number": "031-661-2546",
"country_name": "United States",
"address_type": "MIL"
},
{
"address_1": "590 S Wakara Way",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841081200",
"country_code": "US",
"telephone_number": "801-587-5448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 N 11th St",
"address_2": "ORTHO: ORTHOPAEDIC SURGERY CLINIC",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985024",
"country_code": "US",
"telephone_number": "804-828-7394",
"fax_number": "804-628-1522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERSON",
"first_name": "REBECCA",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-02",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "UT",
"license": "12792808-1205",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101257948",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "DR.0062586",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RSANDERSON580357@DIRECT.MED.UTAH.EDU",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.