Individual provider Active NPI

Daryl Ray Sander, M.D.

  • Surgery Physician
  • Galion, OH
National Provider Identifier
1740219617
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.053287 Issued in OH
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0825781MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000229 OH Practitioner - General Surgery 0749253763 Reassigns benefits to 1 organization

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
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

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

ProcedureNumber of procedures
Colonoscopy60
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux25
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.053287OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford County Surgical Associates, Inc Specialist PastSince Jul 1, 1992 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.