Theodore Stephen Sauer Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01059997A Issued in IN

Practice address

300 W Ohio St
Kendallville, IN 46755-2018

Phone

(260) 212-1906

Fax

(260) 279-5737

NPI assigned

Jan 18, 2006

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI, IN2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Joseph Medical Group Inc

  • General Practice Physician
  • Fort Wayne, IN
  • NPI 1811952070

  Family Medicine

  Medicare reassignment NPD
• Glutality Provider Group, P.a.

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1083256168

  MI

  Medicare reassignment
• Directclinic SBC, LLC

  dba DirectClinic

  • Primary Care Clinic/Center
  • Kendallville, IN
  • NPI 1154086841
  NPD
• St Joseph Medical Group Inc

  • Family Medicine Physician
  • Angola, IN
  • NPI 1801851902
  NPD
• Prompt Care Express P.C.

  • Durable Medical Equipment & Medical Supplies
  • Coldwater, MI
  • NPI 1114072311
  NPD
• Prompt Care Express PC

  • General Practice Physician
  • Coldwater, MI
  • NPI 1841268513
  NPD
• Directclinic SBC, LLC

  dba DirectClinic

  • Primary Care Clinic/Center
  • Fort Wayne, IN
  • NPI 1336733229
  NPD (past)
• Earnest Associates Inc

  • Family Medicine Physician
  • Marion, IN
  • NPI 1275565343
  NPD (past)
• Parkview Logansport Hospital, Inc.

  dba Parkview Logansport Hospital Peru Medical Center

  • Rural Health Clinic/Center
  • Peru, IN
  • NPI 1770248015
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1881674703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055410",
            "telephone_number": "260-425-3100",
            "fax_number": "260-745-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W OHIO ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467552018",
            "telephone_number": "260-212-1906",
            "fax_number": "260-279-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUER",
        "first_name": "THEODORE",
        "middle_name": "STEPHEN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01059997A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301084790",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000375796",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200529220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jane Roush, O.D.
• Robert Alan Roush, O.D.
• RX Optical Laboratories, Inc.
• Rebeca Sanchez, RBT
• Julie Sappenfield, RPH
• Jessica Schamper, RBT
• Adam M Schmitt, RPH
• Sarah Schmitt, PHARMD
• Rachel Scholten
• Elizabeth A Schowe, MD

• Family Medicine Physician in Kendallville, IN
• Providers in Kendallville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.