Individual provider Active NPI

Scott J. Sanders, M.D.

  • Vascular Surgery Physician
  • Paducah, KY
National Provider Identifier
1972669422
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
40629 Issued in KY
Practice address
2419 New Holt Rd
Paducah, KY 42001-7455
Phone
(270) 845-4301
Fax
(270) 845-4301
NPI assigned
Dec 29, 2006
Last updated
May 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 40629 KY Primary

Addresses

Primary practice location

2419 New Holt Rd
Paducah, KY 42001-7455

Mailing address

2419 New Holt Rd
Paducah, KY 42001-7455
Phone (270) 845-4300

Other identifiers 1

IdentifierTypeStateIssuer
7100007440MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070607000670 KY Practitioner - Vascular SurgeryPractitioner - General Surgery 5597740977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Arizona College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paducah Vascular Institute PLLCGroup PAC ID 3678951852, 3 clinicians

Practice addresses (Care Compare)

2419 New Holt Rd
Paducah, KY 42001-7455
Phone (270) 845-4300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal127
Leg revascularization (restoring blood flow)81
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
West Kentucky Anesthesia LLC CurrentSince Jan 25, 2023 Accepting new patients
Paducah Vascular Institute PLLC Vascular Surgery CurrentSince Apr 25, 2022 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Two Rivers Surgical Associates PLLC PastSince Feb 22, 2017 Accepting new patients
Cumberland Surgical, PLLC Past Accepting new patients

Locations

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

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

1532 Lone Oak Rd
Ste 405
Paducah, KY 42003
Phone (270) 441-4300

2419 New Holt Rd
Paducah, KY 42001
Phone (270) 845-4300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABGGCD

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1972669422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017455",
            "telephone_number": "270-845-4300",
            "fax_number": "270-845-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017455",
            "telephone_number": "270-845-4301",
            "fax_number": "270-845-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SCOTT",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "40629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100007440",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.