Individual provider Active NPI

John Adams Sanders, MD

  • Internal Medicine Physician
  • Ashland, KY
National Provider Identifier
1790709749
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28118 Issued in KY
Practice address
432 16TH St
Ashland, KY 41101-7693
Phone
(606) 324-0128
Fax
(606) 326-1372
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 28118 KY
Internal Medicine Physician 207R00000X 28118 KY Primary

Addresses

Primary practice location

432 16TH St
Ashland, KY 41101-7693

Mailing address

6200 Dutchmans LN
Louisville, KY 40205-3271
Phone (502) 456-6200

Other practice location 1

3532 Ephraim McDowell Dr
Louisville, KY 40205-3224
Phone (502) 456-6200

Other identifiers 2

IdentifierTypeStateIssuer
64281181MedicaidKY
50044911OtherKYPASSPORT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsanders@hosparus.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050110000515 KY Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 4981652666 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jun 25, 2014 Accepting new patients
Bluegrass Health Psychology, Inc. PastSince Nov 22, 2020 Accepting new patients
Care Guide Partners Inc Internal Medicine Past Accepting new patients
Marshall Emergency Services Associates, PLLC Emergency Medicine Past Accepting new patients
Care Guide Partners Inc Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

50 Sterling Ave
Mt Sterling, KY 40353
Phone (606) 498-1220

801 Eastern Byp
Richmond, KY 40475
Phone (606) 623-3131

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-bhp

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1790709749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053271",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 16TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017693",
            "telephone_number": "606-324-0128",
            "fax_number": "606-326-1372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3532 Ephraim McDowell Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053224",
            "country_code": "US",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JOHN",
        "middle_name": "ADAMS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "28118",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "28118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64281181",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50044911",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsanders@hosparus.org",
            "affiliation": "N",
            "address_1": "6200 Dutchmans Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.