Individual provider Active NPI

Paul S Sander, MD

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1962816520
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
60319 Issued in TN
Practice address
28 White Bridge Pike Ste 111
Nashville, TN 37205-1466
Phone
(615) 356-3999
NPI assigned
Jun 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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 60319 TN Primary

Addresses

Primary practice location

28 White Bridge Pike Ste 111
Nashville, TN 37205-1466

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN2 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
I20190716000755 MO Practitioner - Diagnostic Radiology 8022310507 Reassigns benefits to 4 organizations
I20200810003739 TN Practitioner - Diagnostic Radiology 8022310507 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Columbia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Radiological Group IncGroup PAC ID 8527966944, 105 clinicians

Practice addresses (Care Compare)

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6031

901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.35 of 100Reported as group
Quality
72.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.41 of 100Reported as group
Quality
91.07
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.77 of 100Reported as group
Quality
86.95
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60319TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Miracl, LLC CurrentSince Jul 1, 2019 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Aug 17, 2020 Accepting new patients
Nol, LLC Diagnostic Radiology CurrentSince Aug 17, 2020 Accepting new patients
West County Radiological Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Middle Tennessee Imaging LLC CurrentSince Jan 1, 2019 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Oct 31, 2021 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Aug 17, 2020 Accepting new patients
K. Brian Walton, MD, PLC Past Accepting new patients

Locations (25 of 31)

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

630 NW Englewood Rd
Kansas City, MO 64118
Phone (816) 453-2700

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

701 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-6710

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200

5800 Highlands Plaza Dr
Saint Louis, MO 63110
Phone (573) 270-0265

660 S Euclid Ave
#8131
Saint Louis, MO 63110
Phone (314) 362-2809

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701

300 Wanda St
Marietta, OK 73448
Phone (580) 276-2400

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

789 Old Hickory Blvd
Brentwood, TN 37027
Phone (615) 555-6870

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

3310 Aspen Grove Dr
Ste 101
Franklin, TN 37067
Phone (615) 771-0171

110 Saint Blaise Rd
Ste 102
Gallatin, TN 37066
Phone (615) 467-4640

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

262 New Shackle Island Rd
Ste 206
Hendersonville, TN 37075
Phone (615) 986-6050

5045 Old Hickory Blvd
Ste 100
Hermitage, TN 37076
Phone (615) 884-7674

1210 Briarville Rd
Bldg F602
Madison, TN 37115
Phone (615) 773-7237

5002 Crossings Cir
Ste 140
Mt Juliet, TN 37122
Phone (615) 773-7237

Organizations & group practices 14

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 14

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1962816520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WHITE BRIDGE PIKE STE 111",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051466",
            "telephone_number": "615-356-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDER",
        "first_name": "PAUL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "60319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.