Individual provider Active NPI

Todd Sanders, MD

  • Diagnostic Radiology Physician
  • Pensacola, FL
National Provider Identifier
1821228396
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME 123484 Issued in FL
Practice address
1717 N E St
Suite 300
Pensacola, FL 32501-6339
Phone
(850) 432-6851
NPI assigned
Jul 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME 123484 FL Primary

Addresses

Primary practice location

1717 N E St
Suite 300
Pensacola, FL 32501-6339

Mailing address

475 James River Rd
Gulf Breeze, FL 32561-4868
Phone (850) 445-6606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150724012028 AL Practitioner - Diagnostic Radiology 0547493314 Reassigns benefits to 1 organization
I20150817001634 FL Practitioner - Diagnostic Radiology 0547493314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Pensacola PAGroup PAC ID 0749240836, 20 clinicians
West Florida Medical Center Clinic PAGroup PAC ID 7416860705, 112 clinicians

Practice addresses (Care Compare)

1040 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7809
Phone (850) 916-8700

1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000

121 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3400

1301 Belleville Ave
Brewton, AL 36426-1306
Phone (850) 438-6784

1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610

14114 Alabama St
Jay, FL 32565-1219
Phone (850) 675-8000

1717 N E St
Pensacola, FL 32501-6339
Phone (850) 432-6851

2016 S Alabama Ave
Monroeville, AL 36460-3044
Phone (251) 575-3111

2695 Edmund Dr
Dr Rivera Home Office
Gulf Breeze, FL 32563-3708
Phone (850) 432-6851

475 James River Rd
Gulf Breeze, FL 32561-4868
Phone (850) 432-6851

5100 N 12TH Ave
Pensacola, FL 32504-8919
Phone (850) 432-6851

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8000

8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone (850) 494-4000

8888 Navarre Pkwy
Navarre, FL 32566-3615
Phone (850) 939-4888

9400 University Pkwy
Pensacola, FL 32514-5752
Phone (850) 208-6000

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Northwest Florida Community Hospital Hospital, Chipley, FL, CCN 101308
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
  • Jay Hospital Hospital, Jay, FL, CCN 101315

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 123484FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Center Clinic, PA CurrentSince Jul 1, 2015 Accepting new patients
Radiology Associates of Pensacola, PA Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients

Locations

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000

8888 Navarre Pkwy
Navarre, FL 32566
Phone (850) 437-8800

1717 N E St
Ste 300
Pensacola, FL 32501
Phone (850) 444-4741

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

7000 Cobble Crk
Pensacola, FL 32504
Phone (850) 377-5938

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

Organizations & group practices 3

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 5

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1821228396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 JAMES RIVER RD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614868",
            "telephone_number": "850-445-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "address_2": "SUITE 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-432-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 123484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.