NPIMap

Individual provider Active NPI

Saundra Rae Anderson, D.O.

  • Family Medicine Physician
  • Yoakum, TX
National Provider Identifier
1861553067
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J1068 Issued in TX
Practice address
1200 Carl Ramert Dr
Ste D
Yoakum, TX 77995-4868
Phone
(361) 293-7061
Fax
(361) 293-7892
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J1068 TX Primary

Addresses

Primary practice location

1200 Carl Ramert Dr
Ste D
Yoakum, TX 77995-4868

Mailing address

210 Nelson Street
Ste C
Yoakum, TX 77995-2917
Phone (361) 293-7061

Other identifiers 1

IdentifierTypeStateIssuer
130794412MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address saundra.anderson.1@8249.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090325000399 TX Practitioner - Family Practice 1456418177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yoakum Community HospitalGroup PAC ID 5193621159, 9 clinicians

Practice addresses (Care Compare)

1200 Carl Ramert Dr
Suite D
Yoakum, TX 77995-4868

1200 Carl Ramert Dr D
Yoakum, TX 77995-4868

Hospital & facility affiliations

  • Advanced Home Health Services Home health agency, Seguin, TX, CCN 677247
  • Yoakum Community Hospital Hospital, Yoakum, TX, CCN 451346
  • Lavaca Medical Center Hospital, Hallettsville, TX, CCN 451376
  • Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597
  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • Yoakum Community Hospital Nursing home, CCN 45Z346

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as apm
Quality
52.91
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yoakum Community Hospital CurrentSince Mar 11, 2003 Accepting new patients
Yoakum Community Hospital Past Accepting new patients
Ae Mgebroff & David H Watson PTR Family Medicine PastSince Jul 1, 2007 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Yoakum Community Hospital Past Accepting new patients
Oakbend Medical Center Past Accepting new patients

Locations

1200 Carl Ramert Dr
Ste D
Yoakum, TX 77995
Phone (361) 293-7061

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • Direct secure messaging: saundra.anderson.1@8249.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8249/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sanderson@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Yoakum Community HospitalYoakum, TX, CCN 451346 Hospital Corporate Director Jan 1, 2016
Yoakum Community HospitalYoakum, TX, CCN 45Z346 Hospital Corporate Director Jan 1, 2016

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 7

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 6

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1861553067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NELSON STREET",
            "address_2": "STE C",
            "city": "YOAKUM",
            "state": "TX",
            "postal_code": "779952917",
            "telephone_number": "361-293-7061",
            "fax_number": "361-293-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CARL RAMERT DR",
            "address_2": "STE D",
            "city": "YOAKUM",
            "state": "TX",
            "postal_code": "779954868",
            "telephone_number": "361-293-7061",
            "fax_number": "361-293-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SAUNDRA",
        "middle_name": "RAE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130794412",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saundra.anderson.1@8249.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging - HIE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 Carl Ramert Dr",
            "address_2": "Ste D",
            "city": "Yoakum",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779954868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yoakum, TX

Sources for this page

Verify at the official NPI Registry.