Individual provider Active NPI

Jennifer Lynn Sanford, MD

  • Vascular Surgery Physician
  • Chesterfield, MO
National Provider Identifier
1669798252
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2016029500 Issued in MO
Practice address
222 S Woods Mill Rd Ste 550N
Chesterfield, MO 63017-3641
Phone
(314) 434-3049
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 2016029500 MO Primary

Addresses

Primary practice location

222 S Woods Mill Rd Ste 550N
Chesterfield, MO 63017-3641

Mailing address

222 S Woods Mill Rd Ste 550N
Chesterfield, MO 63017-3641
Phone (314) 434-3049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180820003238 MO Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Critical Care (Intensivists) 1759683139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Critical Care (Intensivists), General Surgery
Education
University of Missouri, Kansas City, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic Surgery, LLCGroup PAC ID 1254365281, 14 clinicians

Practice addresses (Care Compare)

222 S Woods Mill Rd
Suite 550N
Chesterfield, MO 63017-3641
Phone (314) 434-3049

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic Surgery, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

222 S Woods Mill Rd
Ste 550N
Chesterfield, MO 63017
Phone (314) 434-3049

222 S Woods Mill Rd
Ste 360N
Chesterfield, MO 63017
Phone (314) 205-6788

222 S Woods Mill Rd
Ste 360
Chesterfield, MO 63017
Phone (314) 576-1001

226 S Woods Mill Rd
Ste 550
Chesterfield, MO 63017

5551 Winghaven Blvd
Ste 180
O Fallon, MO 63368
Phone (314) 205-6699

2355 Dougherty Ferry Rd
Ste 310
Saint Louis, MO 63122
Phone (314) 434-3049

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.

Hospital & facility affiliations 1

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1669798252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD STE 550N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173641",
            "telephone_number": "314-434-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD STE 550N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173641",
            "telephone_number": "314-434-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2016029500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.