Active NPI
Matthew D. Sanders
- Pain Medicine (Anesthesiology) Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 12238992-1205
- Practice address
- 280 River Park Dr Ste 200
Provo, UT 84604-5793 - Phone
- (801) 223-4860
- NPI assigned
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 12238992-1205 | UT | Primary |
Addresses
Primary practice location
280 River Park Dr Ste 200
Provo, UT 84604-5793
Mailing address
280 River Park Dr
Ste 200
Provo, UT 84604-5793
Phone (801) 223-4860
Other practice location 1
145 Kimel Park Dr Ste 330
Winston Salem, NC 27103-6972
Phone (336) 765-6181
Other practice location 2
Wake Forest Baptist Health Medical Center Blvd
Winston Salem, NC 27157-1009
Phone (336) 716-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- 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
- Pain Management
- Education
- Medical College of Wisconsin, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
280 River Park Dr
Suite 200
Provo, UT 84604-5793
Phone (801) 223-4860
Hospital & facility affiliations
- American Fork Hospital
- Intermountain Health Spanish Fork Hospital
- Central Valley Medical Center - Cah
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.26 of 100
- Quality
- 73.08
- Improvement activities
- 40
- Cost
- 76.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Interventions, PLLC | Pain Medicine | Current | Accepting new patients |
Locations
230 N 1200 E
Ste 201
Lehi, UT 84043
Phone (801) 852-9555
280 River Park Dr
Ste 350
Provo, UT 84604
Phone (801) 223-4860
280 River Park Dr
Ste 200
Provo, UT 84604
Phone (801) 223-4860
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Provo, UT
- NPI 1053336917
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Nephi, UT
- NPI 1881658110
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
- General Acute Care Hospital
- Spanish Fork, UT
- NPI 1124661384
-
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1639529555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 RIVER PARK DR",
"address_2": "STE 200",
"city": "PROVO",
"state": "UT",
"postal_code": "846045793",
"telephone_number": "801-223-4860",
"fax_number": "801-371-8993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 RIVER PARK DR STE 200",
"city": "PROVO",
"state": "UT",
"postal_code": "846045793",
"telephone_number": "801-223-4860"
}
],
"practiceLocations": [
{
"address_1": "145 Kimel Park Dr Ste 330",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271036972",
"country_code": "US",
"telephone_number": "336-765-6181",
"fax_number": "336-765-8492",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Wake Forest Baptist Health Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271571009",
"country_code": "US",
"telephone_number": "336-716-7246",
"fax_number": "336-716-8773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "MATTHEW",
"middle_name": "D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-21",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "UT",
"license": "12238992-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.