DR. JOHN T SANDERS M.D.
NPI 1164505608
Pediatrics - Pediatric Nephrology in Sioux Falls, SD

Q: What is John Sanders's NPI number?

The NPI number for John Sanders is 1164505608. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Q: What is John Sanders's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Q: When was this NPI record last updated?

The NPPES record for John Sanders was last updated on September 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment

1600 W 22ND ST, SIOUX FALLS, SD 57105(605) 312-1000(604) 312-1001 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. John T Sanders M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN T SANDERS M.D. (NPI 1164505608) is an individual pediatric nephrology provider in Sioux Falls, South Dakota, licensed in North Dakota (11841) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Brody School Of Medicine At East Carolina University (2000).

NPPES Registry Identity

NPI1164505608

Entity TypeIndividualMale

Primary Taxonomy2080P0210X

Provider Legal NameDR. JOHN T SANDERSCredential: M.D.

Location Address1600 W 22ND STSioux Falls, SD 57105-1521

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512

Phone(605) 312-1000

Fax(604) 312-1001

Sole ProprietorNo

Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2000

Enumeration DateOctober 20, 2006

Last NPPES UpdateSeptember 26, 2013

✔ NPI 1164505608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

Licenses✔ Licensed in ND · 11841✔ Licensed in SD · 7726

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Also ListedPediatricsTaxonomy 208000000X · License 42313 (TN), 11948 (HI), 7726 (SD)

1600 W 22ND ST, Sioux Falls, SD 57105

Open in Google Maps ↗

Other Identifiers 1

Medicaid17692ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John T Sanders M.d. 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.

PECOS PAC ID1557452307

PECOS Enrollment IDI20100901000665

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELLE L. BAACK MD

Pediatrics