Individual provider Active NPI

Alan R Sandberg, MD

  • Gastroenterology Physician
  • New Hyde Park, NY
National Provider Identifier
1982706446
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
158140 Issued in NY
Practice address
915 Hillside Ave
New Hyde Park, NY 11040-2529
Phone
(347) 236-3163
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hepatology Physician 207RI0008X 158140 NY
Gastroenterology Physician 207RG0100X 158140 NY Primary

Addresses

Primary practice location

915 Hillside Ave
New Hyde Park, NY 11040-2529

Mailing address

162 Lenox Rd
West Babylon, NY 11704-4041
Phone (516) 404-0829

Other practice location 1

2001 Marcus Ave Ste W260
New Hyde Park, NY 11042-1071
Phone (516) 437-9660

Other identifiers 8

IdentifierTypeStateIssuer
76617OtherNYVYTRA SPECIALITY GI
03E451OtherNYBCBS
2C8127MedicaidNY
500936OtherNYUSHC SPECALITY GI
AP817OtherNYOXFORD
12423POtherNYHIP
41418OtherNYVYTRA
470563OtherNYUSHC INTERNAL MED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090812000316 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 6608967815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Care, PCGroup PAC ID 7113093071, 41 clinicians

Practice addresses (Care Compare)

11014 Jamaica Ave
Richmond Hill, NY 11418-2320
Phone (516) 750-8000

1575 Hillside Ave
New Hyde Park, NY 11040-2501
Phone (516) 750-8000

380 S Broadway
Hicksville, NY 11801-5033
Phone (516) 750-8000

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Upper gastrointestinal (GI) endoscopy for acid reflux78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Care, PC Gastroenterology CurrentSince Feb 1, 2016 Accepting new patients

Locations

380 S Broadway
Hicksville, NY 11801
Phone (516) 437-9000

366 N Broadway
Ste LW2
Jericho, NY 11753
Phone (516) 407-7395

150 Broadhollow Rd
Ste 120
Melville, NY 11747
Phone (631) 450-1400

2001 Marcus Ave
Ste W260
New Hyde Park, NY 11042
Phone (516) 358-9007

1991 Marcus Ave
Ste M202
New Hyde Park, NY 11042
Phone (516) 204-4242

1991 Marcus Ave
Ste M200
New Hyde Park, NY 11042
Phone (516) 204-4242

1061 N Broadway
Ste 2
North Massapequa, NY 11758
Phone (516) 420-4300

915 Hillside Ave
North New Hyde Pk, NY 11040
Phone (516) 437-9000

11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747

235 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 450-1200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: asandberg@long.curemd.direct-ci.com

Organizations & group practices 1

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 1

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982706446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 LENOX RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117044041",
            "telephone_number": "516-404-0829",
            "fax_number": "516-466-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402529",
            "telephone_number": "347-236-3163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Marcus Ave Ste W260",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110421071",
            "country_code": "US",
            "telephone_number": "516-437-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "ALAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "NY",
            "license": "158140",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "158140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA SPECIALITY GI",
            "identifier": "76617",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03E451",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2C8127",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC SPECALITY GI",
            "identifier": "500936",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "AP817",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "12423P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "41418",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC INTERNAL MED",
            "identifier": "470563",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.