Individual provider Active NPI

Sandra K Birchem, D.O.

  • Cardiovascular Disease Physician
  • Springfield, MO
National Provider Identifier
1902888241
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2020012043 Issued in MO
Practice address
3800 S National Ave Ste 400
Springfield, MO 65807-5272
Phone
(417) 875-3000
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03102 IA
Cardiovascular Disease Physician 207RC0000X 48571 MN
Cardiovascular Disease Physician 207RC0000X 2020012043 MO Primary

Addresses

Primary practice location

3800 S National Ave Ste 400
Springfield, MO 65807-5272

Mailing address

PO Box 802843
Kansas City, MO 64180-2843

Other practice location 1

1000 4th St SW
Mason City, IA 50401-2800
Phone (641) 428-6999

Other practice location 2

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 875-3000

Other practice location 3

404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 373-2384

Other practice location 4

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other identifiers 3

IdentifierTypeStateIssuer
P00224506OtherIARAILROAD MEDICARE
8162016MedicaidIA
200083026MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO, OR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050401000721 IA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Emergency Medicine 3779530720 Reassigns benefits to 3 organizations
I20200508000758 MO Practitioner - Cardiovascular Disease (Cardiology) 3779530720
I20221116002234 OR Practitioner - Cardiovascular Disease (Cardiology) 3779530720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1698 E McAndrews Rd
Medford, OR 97504-5590

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500

940 Royal Ave
Medford, OR 97504-6194

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03102IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Family Medicine Current Accepting new patients
Providence Health & Services Oregon CurrentSince Apr 1, 2025 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Dec 1, 2022 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Lester E Cox Medical Centers Cardiovascular Disease CurrentSince Jun 1, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince Dec 1, 2022 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 1, 2022 Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Oct 25, 2021 Accepting new patients
Mercy Medical Center North Iowa Past Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Lester E Cox Medical Centers Family Medicine Past Accepting new patients
Mercy Health Services-Iowa Corp Past Accepting new patients
Iowa Heart Center PC Cardiovascular Disease Past Accepting new patients
North Iowa Mercy Clinics Family Medicine Past Accepting new patients

Locations

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

5885 Sunnybrook Dr
Ste L200
Sioux City, IA 51106
Phone (712) 239-4702

2730 Pierce St
Ste 300B
Sioux City, IA 51104
Phone (712) 239-4702

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

1698 E McAndrews Rd
Ste 300
Medford, OR 97504
Phone (541) 732-7850

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460

Interoperability endpoints

  • Direct secure messaging: sbirchem840765@direct.unitypoint.org
  • Direct secure messaging: sbirchem2524703@oc.providencedirect.org

Organizations & group practices 17

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.

View all 17

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1902888241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE STE 400",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075272",
            "telephone_number": "417-875-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 4th St SW",
            "address_purpose": "LOCATION",
            "city": "Mason City",
            "state": "IA",
            "postal_code": "504012800",
            "country_code": "US",
            "telephone_number": "641-428-6999",
            "fax_number": "641-428-6678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 S National Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075210",
            "country_code": "US",
            "telephone_number": "417-875-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 W Fountain St",
            "address_purpose": "LOCATION",
            "city": "Albert Lea",
            "state": "MN",
            "postal_code": "560072437",
            "country_code": "US",
            "telephone_number": "507-373-2384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRCHEM",
        "first_name": "SANDRA",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "03102",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "48571",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2020012043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00224506",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8162016",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200083026",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.