Individual provider Active NPI

Renee L Sandlin, M.D.

  • Emergency Medicine Physician
  • Gettysburg, PA
National Provider Identifier
1609848845
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101244917 Issued in VA
Practice address
147 Gettys St
Gettysburg, PA 17325-2534
Phone
(717) 337-4168
Fax
(717) 337-4249
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101244917 VA Primary

Addresses

Primary practice location

147 Gettys St
Gettysburg, PA 17325-2534

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 738-6420

Other identifiers 2

IdentifierTypeStateIssuer
1609848845MedicaidVA
234124OtherVABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170427000733 PA Practitioner - Emergency Medicine 3375508906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northeastern Ohio University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Gettysburg HospitalGroup PAC ID 2769373331, 66 clinicians

Practice addresses (Care Compare)

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 851-1405

Hospital & facility affiliations

  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Gettysburg Hospital Emergency Medicine CurrentSince Apr 3, 2017 Accepting new patients
The Gettysburg Hospital CurrentSince Apr 3, 2017 Accepting new patients
Ephrata Community Hospital CurrentSince Jan 1, 2023 Accepting new patients
Ephrata Community Hospital Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Wellspan Medical Group Emergency Medicine Past Accepting new patients
Emergency Medicine of Indiana Emergency Medicine Past Accepting new patients
Mid State Logansport Ed Physicians Emergency Medicine Past Accepting new patients
Centra Medical Group Southside, LLC Past Accepting new patients
Wabash Em I Medical Services PC Past Accepting new patients
Piedmont Emergency Consultants, PLC Emergency Medicine Past Accepting new patients
Martha Jefferson Hospital Past Accepting new patients
Nes Indiana, Inc. Emergency Medicine Past Accepting new patients
Northwest Ohio Emergency Services, Inc. Emergency Medicine Past Accepting new patients

Locations

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

169 Martin Ave
#1002
Ephrata, PA 17522
Phone (717) 738-6818

147 Gettys St
#3786
Gettysburg, PA 17325
Phone (717) 334-4216

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: rsandlin14269@wellspan.direct-ci.com

Organizations & group practices 13

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.

View all 13

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1609848845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 GETTYS ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252534",
            "telephone_number": "717-337-4168",
            "fax_number": "717-337-4249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-738-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDLIN",
        "first_name": "RENEE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101244917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609848845",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "234124",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.