Mark Allen Sanders, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K9653 Issued in TX

Practice address

3437 W 7TH St
Fort Worth, TX 76107-2718

Phone

(817) 688-1588

Fax

(817) 423-7361

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX, IL, AL, LA4 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 4

Specialty

Family PracticeAlso: Geriatric Medicine, Hospice/Palliative Care

Education

University of North Texas HSC, College of Osteopathic Med, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gerination Medical Centers LLCGroup PAC ID 4486961661, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Discovery at Home in Texas Inc Home health agency, Plano, TX, CCN 679350
• Nexus Home Healthcare Inc Home health agency, Frisco, TX, CCN 457921
• Sunrise Home Health Services Home health agency, Bedford, TX, CCN 459463
• Magnolia Home Health Home health agency, Granbury, TX, CCN 679172
• Classic Home Care Home health agency, Arlington, TX, CCN 747434
• Custom Care Hospice Hospice, Dallas, TX, CCN 451635
• Legend Hospice and Palliative Care Hospice, Fort Worth, TX, CCN 671731
• Freedom Hospice Hospice, North Richland Hills, TX, CCN 671527
• Solaris Hospice Inc Hospice, Decatur, TX, CCN 451688

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Keystone Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Grapevine, TX
  • NPI 1861620668

  Contracted Managing Employee

  CMS ownership

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.

• Gerination Medical Centers, LLC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1548661713

  AL

  Medicare reassignment Care Compare group Authorized official
• Third Eye After Hours, PLLC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1336696087
  NPD Authorized official
• Third Eye Wound Care, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Fort Worth, TX
  • NPI 1770030587
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Discovery at Home in Texas, Inc

  • Home Health Agency
  • Plano, TX
  • NPI 1639184047
  Care Compare affiliation
• Freedom Hospice, LLC

  • Community Based Hospice Care Agency
  • North Richland Hills, TX
  • NPI 1063452373
  Care Compare affiliation
• Healthcare of West Texas LLC

  • Home Health Agency
  • Granbury, TX
  • NPI 1306021886
  Care Compare affiliation
• Keystone Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Grapevine, TX
  • NPI 1861620668
  Care Compare affiliation
• Legend Hospice Inc.

  • Community Based Hospice Care Agency
  • Fort Worth, TX
  • NPI 1164724993
  Care Compare affiliation
• Nexus Home Healthcare, Inc

  • Home Health Agency
  • Frisco, TX
  • NPI 1619560521
  Care Compare affiliation
• SLH Health Corp

  • Home Health Agency
  • Arlington, TX
  • NPI 1699900498
  Care Compare affiliation
• Solaris Hospice Inc

  • Community Based Hospice Care Agency
  • Decatur, TX
  • NPI 1306884770
  Care Compare affiliation
• Sunrise Home Health Services of America, Inc.

  • Home Health Agency
  • Bedford, TX
  • NPI 1265524557
  Care Compare affiliation

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1770544389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072718",
            "telephone_number": "817-688-1588",
            "fax_number": "817-423-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3437 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072718",
            "telephone_number": "817-688-1588",
            "fax_number": "817-423-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K9653",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9653",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "K8653",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "K9653",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.131054",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036.131054",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036.131054",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036.131054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151887001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151887004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151887003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "080186304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B2215",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Ann Sanders, LVN; EMT-B
• Katie Marie Sanders, LPC ASSOCIATE
• Kayla Sanders
• Kelley Leigh Sanders, DNP-FNP
• Krista D Sanders, RPH
• Megan Sanders, RN
• Morgan Sanders
• Skyla Renee Sanders
• Stephen Ellwood Sanders, D.C.
• Sydney Jane Sanders

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.