NPIMap

Individual provider Active NPI

Reginald Sandy, DO

  • Gastroenterology Physician
  • Vincennes, IN
National Provider Identifier
1972504629
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
02001472 Issued in IN
Practice address
520 S 7TH St Ste Sb406
Vincennes, IN 47591-1038
Phone
(812) 885-8770
Fax
(812) 885-8771
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X TP598 KY
Gastroenterology Physician 207RG0100X 02001472 IN Primary

Addresses

Primary practice location

520 S 7TH St Ste Sb406
Vincennes, IN 47591-1038

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other practice location 1

225 Medical Center Dr Ste 308
Paducah, KY 42003-7915
Phone (270) 443-0777

Other identifiers 3

IdentifierTypeStateIssuer
IN3764001OtherINMEDICARE
100427420AMedicaidIN
200002550MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dhs@direct.deaconess.com Direct
Direct Messaging Address dhs@direct.deaconess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, OK, TN4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090430000265 IN Practitioner - GastroenterologyPractitioner - Internal Medicine 6103974167 Reassigns benefits to 1 organization
I20220129000350 KY Practitioner - Gastroenterology 6103974167 Reassigns benefits to 2 organizations
I20250227003325 OK Practitioner - Gastroenterology 6103974167 Reassigns benefits to 1 organization
I20250702001863 TN Practitioner - Gastroenterology 6103974167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Oklahoma State University College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Kentucky Specialty Care LLC 144 clinicians
WT Medical Associates 64 clinicians
Advanced Gastroenterology, LLC 2 clinicians

Practice addresses (Care Compare)

225 Medical Ctr Dr
Suite 308
Paducah, KY 42003-7915
Phone (270) 443-0777

420 Wilkinson Dr
FL 2
Dyersburg, TN 38024-2085
Phone (731) 285-5133

520 S 7TH St
Suite Sb406
Vincennes, IN 47591-1038
Phone (812) 885-8770

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042
  • Daviess Community Hospital Hospital, Washington, IN, CCN 150061
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Terre Haute Regional Hospital Hospital, Terre Haute, IN, CCN 150046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy224
Upper gastrointestinal (GI) endoscopy for acid reflux211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001472INMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Jan 31, 2022 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Jan 31, 2022 Accepting new patients
Advanced Gastroenterology, LLC Gastroenterology CurrentSince Apr 5, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 27, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 27, 2023 Accepting new patients
WT Medical Associates CurrentSince May 18, 2025 Accepting new patients
Mercy Hospital Oklahoma City, Inc Current Accepting new patients
Mercy Hospital Oklahoma City, Inc CurrentSince Feb 24, 2025 Accepting new patients
WT Medical Associates CurrentSince May 18, 2025 Accepting new patients
Good Samaritan Hospital Physician Services, Inc PastSince May 1, 2018 Accepting new patients
Gastrointestinal Specialists,PC Gastroenterology Past Accepting new patients
Mercy Health Physicians Kentucky LLC Gastroenterology Past Accepting new patients

Locations

501 E Hospital Ln
Ste 106
Terre Haute, IN 47802
Phone (812) 885-8770

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

520 S 7th St
Ste SB406
Vincennes, IN 47591
Phone (812) 491-1462

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

225 Medical Center Dr
Ste 308
Paducah, KY 42003
Phone (270) 441-4750

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

2605 Kentucky Ave
Ste 202
Paducah, KY 42003
Phone (270) 415-4690

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

Interoperability endpoints

  • Direct secure messaging: rsandy1035802@direct.bsmhealth.org
  • Direct secure messaging: rsandy11943@edirect.crh.org
  • Direct secure messaging: rsandy122199@direct.deaconess.com
  • Direct secure messaging: dhs@direct.deaconess.com

Organizations & group practices 15

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 15

Hospital & facility affiliations 10

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1972504629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 7TH ST STE SB406",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911038",
            "telephone_number": "812-885-8770",
            "fax_number": "812-885-8771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Medical Center Dr Ste 308",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037915",
            "country_code": "US",
            "telephone_number": "270-443-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDY",
        "first_name": "REGINALD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "TP598",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "02001472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IN3764001",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100427420A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002550",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhs@direct.deaconess.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "520 S 7th St Ste Sb406",
            "city": "Vincennes",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475911038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhs@direct.deaconess.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "520 S 7th St Ste Sb406",
            "city": "Vincennes",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475911038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.