Active NPI
Daryl Ray Sander, M.D.
- Surgery Physician
- Galion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35.053287
- Practice address
- 1593 Olentangy Rd.
Galion, OH 44833-1509 - Phone
- (419) 468-7785
- Fax
- (419) 468-7295
- NPI assigned
- Jul 2, 2006
- Last updated
- Jan 8, 2021
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35.053287 | OH | Primary |
Addresses
Primary practice location
1593 Olentangy Rd.
Galion, OH 44833-1509
Mailing address
1593 Olentangy Rd.
Galion, OH 44833-1509
Phone (419) 468-7785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0825781 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dsander482658@direct.osumc.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- General Surgery
- Education
- Ohio State University College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1593 Olentangy Rd
Galion, OH 44833-9762
Phone (419) 468-7785
269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841
2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 60 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 25 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.053287 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crawford County Surgical Associates, Inc | Specialist | Past | Accepting new patients |
Interoperability endpoints
- dsander482658@direct.osumc.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Galion, OH
- NPI 1689822827
-
- Specialist
- Galion, OH
- NPI 1710012752
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ontario, OH
- NPI 1790131050
-
dba Bucyrus Community Hospital
- Critical Access Hospital
- Bucyrus, OH
- NPI 1104914274
-
dba GCH Health Services
- Critical Access Hospital
- Galion, OH
- NPI 1215907522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1740219617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1593 OLENTANGY RD.",
"city": "GALION",
"state": "OH",
"postal_code": "448331509",
"telephone_number": "419-468-7785",
"fax_number": "419-468-7295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1593 OLENTANGY RD.",
"city": "GALION",
"state": "OH",
"postal_code": "448331509",
"telephone_number": "419-468-7785",
"fax_number": "419-468-7295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDER",
"first_name": "DARYL",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.053287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0825781",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dsander482658@direct.osumc.edu",
"affiliation": "N",
"address_1": "1593 Olentangy Rd.",
"city": "Galion",
"state": "OH",
"country_code": "US",
"postal_code": "448331509",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Galion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.