Active NPI
Amy N Sanford, M.D.
- Hematology & Oncology Physician
- Sioux Falls, SD
National Provider Identifier
1679708283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 9480
- Practice address
- 1309 W 17TH St
Ste 101
Sioux Falls, SD 57104-4663 - Phone
- (605) 328-8000
- Fax
- (605) 328-8001
- NPI assigned
- May 27, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R-8617 | IA | |
| Hematology & Oncology Physician | 207RH0003X | 9480 | SD | Primary |
| Internal Medicine Physician | 207R00000X | 9480 | SD |
Addresses
Primary practice location
1309 W 17TH St
Ste 101
Sioux Falls, SD 57104-4663
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150924001442 | SD | Practitioner - Hematology/Oncology | 7517107063 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Avera McKennan
Practice addresses (Care Compare)
1000 E 23Rd St
Sioux Falls, SD 57105-2122
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 504-1600
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
- Avera Queen of Peace
- Sioux Center Health
- Pipestone County Medical Center
- Spencer Municipal Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-8617 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Hematology & Oncology | Current | Accepting new patients |
| Avera McKennan | Current | Accepting new patients |
Locations
400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
Interoperability endpoints
- amy.sanford@directaddress.net
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
SD
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
Hospital & facility affiliations 30
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1679708283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 W 17TH ST",
"address_2": "STE 101",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571044663",
"telephone_number": "605-328-8000",
"fax_number": "605-328-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "AMY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-27",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "R-8617",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "SD",
"license": "9480",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SD",
"license": "9480",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
- Sanford Medical Center Pharmacy
- Sanford School of Medicine
- Sanford School of Medicine of the University of South Dakota Clinical
- Sanford School of Medicine the University of SD Clinical Virolog Lab
- Sanford Virtual Care
- Erin L Sanford, MA, NCC, LPC-MH
- Anand Sanghavi
- Robert Nicholas Santella, M.D.
- Haripriya Santhanam
- Angelo Noel Santos, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.