DR. SANDY POPHAM MD
NPI 1043269228
Internal Medicine - Nephrology in Duluth, MN
About Dr. Sandy Popham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANDY POPHAM MD (NPI 1043269228) is an individual nephrology provider in Duluth, Minnesota, licensed in Minnesota (35304) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Minnesota Medical School (1989).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sandy Popham Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sandy Popham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Duluth, MN 55802
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 513 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Hospital
Acute Care Hospitals · Duluth, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandy Popham's NPI number?
The NPI number for Sandy Popham is 1043269228. It was assigned to this individual provider in the NPPES registry on May 8, 2006.
Where is Sandy Popham located?
Sandy Popham practices at 1001 E Superior St Ste L201, Duluth, MN 55802. The listed phone number is (218) 249-7980.
What is Sandy Popham's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Sandy Popham enrolled in Medicare?
Yes. Sandy Popham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sandy Popham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandy Popham reassigns Medicare benefits to St. Luke's Hospital Of Duluth (Duluth, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandy Popham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandy Popham accept?
Health plans from Aspirus Health Plan, HealthPartners and Security Health Plan list Sandy Popham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sandy Popham affiliated with any hospitals?
According to CMS data, Sandy Popham is affiliated with St Lukes Hospital.
When was this NPI record last updated?
The NPPES record for Sandy Popham was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Sandy Popham, MD · NPI 1043269228
Nephrology physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since May 8, 2006.
## Identity
- **NPI:** 1043269228 (Entity type: Individual)
- **Enumerated:** May 8, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 35304 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1001 E SUPERIOR ST STE L201, Duluth, MN 55802-2207
- **Phone:** (218) 249-7980 · **Fax:** (218) 249-7911
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Luke's Hospital Of Duluth (NPI 1124388723, Duluth, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1989
## Record status
- **NPPES last updated:** January 20, 2021
- **Other identifiers:** Other 04N96P0 (MN); Other 3100318 (MN); Medicaid 32439700 (WI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1043269228) · Data from the CMS NPPES public registry.