NPIMap

Individual provider Active NPI

Todd Alan Sandstrom, MD

  • Surgery Physician
  • Cumberland, WI
National Provider Identifier
1972583029
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
37740 Issued in WI
Practice address
1705 16TH Ave
Cumberland, WI 54829-8601
Phone
(715) 822-7500
Fax
(715) 822-7501
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 37740 WI Primary

Addresses

Primary practice location

1705 16TH Ave
Cumberland, WI 54829-8601

Mailing address

1705 16TH Ave
Cumberland, WI 54829-8601
Phone (715) 822-7500

Other identifiers 1

IdentifierTypeStateIssuer
32236700MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000695 WI Practitioner - General Surgery 3678467750 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Wisconsin School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Memorial Hospital IncGroup PAC ID 7719889203, shared by 4 NPIs, 19 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians

Practice addresses (Care Compare)

1705 16TH Ave
Cumberland, WI 54829-8601
Phone (715) 822-7222

2251 N Shore Dr
Rhinelander, WI 54501-6710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
86.21
Promoting interoperability
100
Improvement activities
40
Cost
73.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy28
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Memorial Hospital Inc CurrentSince Dec 13, 2025 Accepting new patients
Cumberland Memorial Hospital Inc CurrentSince Dec 13, 2025 Accepting new patients
Prairie Ridge Health, Inc. Surgery CurrentSince Jan 13, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc Current Accepting new patients
Cumberland Memorial Hospital, Inc CurrentSince Dec 13, 2025 Accepting new patients
Prairie Ridge Health Inc. CurrentSince Jan 13, 2026 Accepting new patients
Todd a. Sandstrom, MD, SC Surgery PastSince Sep 1, 2005 Accepting new patients
Cumberland Memorial Hospital Inc Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients
Cumberland Memorial Hospital Inc Past Accepting new patients

Locations

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222

Organizations & group practices 12

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1972583029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 16TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548298601",
            "telephone_number": "715-822-7500",
            "fax_number": "715-822-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 16TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548298601",
            "telephone_number": "715-822-7500",
            "fax_number": "715-822-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDSTROM",
        "first_name": "TODD",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "37740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32236700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, WI

Sources for this page

Verify at the official NPI Registry.