Individual provider Active NPI

Amy Elaine Sanders, MD

  • Neurology Physician
  • Wethersfield, CT
National Provider Identifier
1710154000
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
62187 Issued in CT
Practice address
1260 Silas Deane Hwy
Hartford Hospital Neurology Dept
Wethersfield, CT 06109-4362
Phone
(860) 696-2820
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 62187 CT Primary
Neurology Physician 2084N0400X 243608 NY

Addresses

Primary practice location

1260 Silas Deane Hwy
Hartford Hospital Neurology Dept
Wethersfield, CT 06109-4362

Mailing address

1260 Silas Deane Hwy
Hartford Hospital Neurology Dept
Wethersfield, CT 06109-4362
Phone (860) 696-2820

Other identifiers 2

IdentifierTypeStateIssuer
02986309MedicaidNY
008085144MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, MD, DC, VA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20080819000006 NY Practitioner - Neurology 3678648169 Reassigns benefits to 2 organizations
I20190122000396 CT Practitioner - Neurology 3678648169 Reassigns benefits to 2 organizations
I20240708001068 MD Practitioner - Psychiatry 3678648169 Reassigns benefits to 1 organization
I20240708001275 DC Practitioner - Psychiatry 3678648169 Reassigns benefits to 1 organization
I20241210002029 VA Practitioner - Psychiatry 3678648169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunday Cares PCGroup PAC ID 3678017233, 6 clinicians

Practice addresses (Care Compare)

Burlington, CT 06013
Phone (571) 517-1564

102 S Union St
Alexandria, VA 22314-3324
Phone (571) 200-5969

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunday Cares PC CurrentSince Apr 29, 2024 Accepting new patients
Neurology Medical Service Group, LLP Neurology CurrentSince Aug 1, 2013 Accepting new patients
Montefiore Medical Center Neurology CurrentSince Jul 1, 2008 Accepting new patients
Hartford Hospital Neurology CurrentSince Dec 20, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2008 Accepting new patients

Locations

1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477

100 West Rd
Ste 300
Towson, MD 21204
Phone (240) 203-7988

111 E 210th St
Bronx, NY 10467

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

102 S Union St
Alexandria, VA 22314
Phone (571) 200-5969

1545 Crossways Blvd
Chesapeake, VA 23320
Phone (757) 309-1405

1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772

8320 Old Courthouse Rd
Ste 401
Vienna, VA 22182
Phone (571) 999-7973

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1710154000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SILAS DEANE HWY",
            "address_2": "HARTFORD HOSPITAL NEUROLOGY DEPT",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094362",
            "telephone_number": "860-696-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SILAS DEANE HWY",
            "address_2": "HARTFORD HOSPITAL NEUROLOGY DEPT",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094362",
            "telephone_number": "860-696-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "AMY",
        "middle_name": "ELAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "62187",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "243608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02986309",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008085144",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.