Active NPI
Kaspar Freidrich Sander, PA-C
- Physician Assistant
- Post Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-2411
- Practice address
- 1651 E Polston Ave
Post Falls, ID 83854 - Phone
- (208) 457-4208
- Fax
- (208) 457-4197
- NPI assigned
- Oct 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA-2411 | ID | |
| Physician Assistant | 363A00000X | PA-2411 | ID | Primary |
Addresses
Primary practice location
1651 E Polston Ave
Post Falls, ID 83854
Mailing address
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2498
Other practice location 1
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992467401 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300
1641 E Polston Ave
Suite 101
Post Falls, ID 83854-7852
Phone (208) 457-4208
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 457-4208
750 N Syringa St
Post Falls, ID 83854-5275
7600 N Mineral Dr
Suite 450
Coeur D Alene, ID 83815-7709
Phone (208) 457-4208
Hospital & facility affiliations
- Northwest Specialty Hospital
- Kootenai Health
- Benewah Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8727 | AZ | MD | Physical Therapist |
| PA-2411 | ID | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopedic Research and Education, LLC | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- ksander@nwsh.gwaydirect.com
- kaspar.sander.1@15112.direct.athenahealth.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
Physician Assistant
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- St Maries, ID
- NPI 1548320435
-
- General Acute Care Hospital
- Coeur D Alene, ID
- NPI 1992798409
-
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1992467401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1593 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545326",
"telephone_number": "208-262-2498",
"fax_number": "208-262-7461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "83854",
"telephone_number": "208-457-4208",
"fax_number": "208-457-4197"
}
],
"practiceLocations": [
{
"address_1": "1593 E Polston Ave",
"address_purpose": "LOCATION",
"city": "Post Falls",
"state": "ID",
"postal_code": "838545326",
"country_code": "US",
"telephone_number": "208-262-2300",
"fax_number": "208-262-2390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDER",
"first_name": "KASPAR",
"middle_name": "FREIDRICH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-12",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "ID",
"license": "PA-2411",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-2411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992467401",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.