Shelby P Sanford, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

10900 Issued in AL

Practice address

1410 McFarland Blvd N
Tuscaloosa, AL 35406-2209

Phone

(205) 345-8208

Fax

(205) 345-8209

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Radiation Oncology

Education

University of Alabama School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Physician Network, P.C.Group PAC ID 0840337721, 46 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.71 of 100Reported as group

Quality

65.41

Promoting interoperability

90

Improvement activities

40

Cost

78.61

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southeast Physician Network, P.C.

  • Hematology & Oncology Physician
  • Tuscaloosa, AL
  • NPI 1598090839

  Radiation Oncology

  Medicare reassignment Care Compare group NPD Authorized official
• Southeast Physician Network, P.C.

  • Hematology & Oncology Physician
  • Tuscaloosa, AL
  • NPI 1255813119
  NPD
• The Radiology Clinic LLC

  • Diagnostic Radiology Physician
  • Tuscaloosa, AL
  • NPI 1649235243
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1689681967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 AFFLINK PL STE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062289",
            "telephone_number": "205-366-9740",
            "fax_number": "205-344-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062209",
            "telephone_number": "205-345-8208",
            "fax_number": "205-345-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "SHELBY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "10900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000008441",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC TUSCALOOSA",
            "identifier": "051008441",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114476",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC WINFIELD",
            "identifier": "051036886",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000036886",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC JASAPER",
            "identifier": "051501876",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114474",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114475",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114478",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009965020",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Payton Breana Sanders, OT
• Qunisha Sanders, CHES
• Vikrant Singh Sandhu, MD
• Jim Patrick Sandras, D.D.S.
• Angela W. Sanford, MS, RD, LD, CDCES
• George Michael Sarris, RPH
• Kristy Marie Satcher
• Toni J Savage
• Saving Hands of Grace Nursing and Home Care Services LLC
• Jade Astoria Scales, LICSW

• Radiation Oncology Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Radiation Oncology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.

Verify at the official NPI Registry.