Individual provider Active NPI

Nathan D Sanders, DPM

  • Podiatrist
  • Albert Lea, MN
National Provider Identifier
1619261708
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
920 Issued in MN
Practice address
404 West Fountain Street
Albert Lea, MN 56007-3920
Phone
(952) 239-6313
NPI assigned
Jun 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 920 MN Primary

Addresses

Primary practice location

404 West Fountain Street
Albert Lea, MN 56007-3920

Mailing address

404 West Fountain Street
Albert Lea, MN 56007-3920
Phone (952) 239-6313

Other practice location 1

7620 Bryant Ave S
Richfield, MN 55423-3920
Phone (952) 239-6313

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nsanders89517@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150205000270 MN Practitioner - Podiatry 7618292186 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 1St Dr NW
Austin, MN 55912-2941
Phone (507) 433-7351

404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 373-2384

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue78
Removal of skin lesions45
Removal of nail tissue290
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
920MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jan 19, 2015 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jan 19, 2015 Accepting new patients

Locations

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

Organizations & group practices 4

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 3

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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1619261708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WEST FOUNTAIN STREET",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560073920",
            "telephone_number": "952-239-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 WEST FOUNTAIN STREET",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560073920",
            "telephone_number": "952-239-6313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7620 Bryant Ave S",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "MN",
            "postal_code": "554233920",
            "country_code": "US",
            "telephone_number": "952-239-6313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "NATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsanders89517@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "404 West Fountain Street",
            "city": "Albert Lea",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560073920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

Verify at the official NPI Registry.