Individual provider Active NPI

Roderick J Sawyer, MD

  • Cardiovascular Disease Physician
  • Peru, IN
National Provider Identifier
1871554550
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01045032A Issued in IN
Practice address
285 W 12TH St
Suite 206
Peru, IN 46970-1653
Phone
(765) 475-8570
Fax
(765) 640-8125
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01045032A IN Primary

Addresses

Primary practice location

285 W 12TH St
Suite 206
Peru, IN 46970-1653

Mailing address

285 W 12TH St
Suite 206
Peru, IN 46970-1653
Phone (765) 475-8570

Other identifiers 1

IdentifierTypeStateIssuer
200098870MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address roderick.sawyer@lutheranhealthnetwork.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040812000114 IN Practitioner - Cardiovascular Disease (Cardiology) 6305818055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
R Franklin University of Med & Sci/Chicago Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dukes Physician Services LLCGroup PAC ID 3375508211, 7 clinicians

Practice addresses (Care Compare)

285 W 12TH St
Suite 207
Peru, IN 46970-1654
Phone (765) 475-8570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dukes Physician Services LLC Cardiovascular Disease CurrentSince Apr 12, 2012 Accepting new patients
Care Group LLC Cardiovascular Disease Past Accepting new patients
St. Vincent Medical Group, Inc. Past Accepting new patients
The Care Labs, LLC Past Accepting new patients

Locations

911 N Western Ave
Ste 109
Marion, IN 46952
Phone (765) 475-8570

1123 N Western Ave
Marion, IN 46952
Phone (765) 651-9347

285 W 12th St
Ste 205
Peru, IN 46970
Phone (765) 472-5335

285 W 12th St
Ste 207
Peru, IN 46970
Phone (765) 472-7700

285 W 12th St
Ste 206
Peru, IN 46970
Phone (765) 472-4460

807 N Cass St
#B
Wabash, IN 46992
Phone (260) 563-3300

Organizations & group practices 4

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 7

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1871554550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W 12TH ST",
            "address_2": "SUITE 206",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701653",
            "telephone_number": "765-475-8570",
            "fax_number": "765-640-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W 12TH ST",
            "address_2": "SUITE 206",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701653",
            "telephone_number": "765-475-8570",
            "fax_number": "765-640-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "RODERICK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01045032A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200098870",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roderick.sawyer@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "address_1": "285 W 12th St",
            "address_2": "Suite 206",
            "city": "Peru",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469701653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

Verify at the official NPI Registry.