NPIMap

Individual provider Active NPI

Kelly R Sanderford, MD

  • Orthopaedic Surgery Physician
  • Greeley, CO
National Provider Identifier
1790730562
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
32524 Issued in CO
Practice address
5890 W 13TH St
101
Greeley, CO 80634-4816
Phone
(970) 348-0020
Fax
(970) 348-0055
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 32524 CO Primary

Addresses

Primary practice location

5890 W 13TH St
101
Greeley, CO 80634-4816

Mailing address

5890 W 13TH St
101
Greeley, CO 80634-4816
Phone (970) 348-0020

Other identifiers 1

IdentifierTypeStateIssuer
01325240MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060822000167 CO Practitioner - Orthopedic Surgery 5890757355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical Branch at Galveston, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Health Physicians Colorado LLCGroup PAC ID 8921273038, 278 clinicians

Practice addresses (Care Compare)

2555 E 13TH St
Suite 105
Loveland, CO 80537-5134
Phone (970) 820-6300

Hospital & facility affiliations

  • Banner Home Care Colorado Home health agency, Greeley, CO, CCN 067147
  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001
  • Sterling Regional Medcenter Hospital, Sterling, CO, CCN 060076

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement26
Knee replacement40
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32524COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Oct 1, 2012 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Mar 17, 2020 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Mar 17, 2020 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Oct 1, 2012 Accepting new patients
Banner Hospital Based Physicians Colorado LLC Current Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

1800 15th St
Ste 200
Greeley, CO 80631
Phone (970) 348-0020

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

5890 W 13th St
Ste 101
Greeley, CO 80634
Phone (970) 348-0020

2555 E 13th St
Ste 105
Loveland, CO 80537
Phone (970) 810-0020

Organizations & group practices 6

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1790730562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 W 13TH ST",
            "address_2": "101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344816",
            "telephone_number": "970-348-0020",
            "fax_number": "970-348-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 W 13TH ST",
            "address_2": "101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344816",
            "telephone_number": "970-348-0020",
            "fax_number": "970-348-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERFORD",
        "first_name": "KELLY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "32524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01325240",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.