JON ALEXANDER SANFORD DO
NPI 1215670583
Radiology - Diagnostic Radiology in Grand Rapids, MI

Active since April 15, 2022PECOS Enrolled
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503(616) 391-3570(616) 391-3130 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, Apr 15, 2022 (2 updates tracked since 2022).

About Jon Alexander Sanford Do NPPES

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

JON ALEXANDER SANFORD DO (NPI 1215670583) is an individual diagnostic radiology provider in Grand Rapids, Michigan, licensed in Michigan (5151015836) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215670583
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJON ALEXANDER SANFORDCredential: DO
Location Address100 MICHIGAN ST NE STE A601Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne Ste A601Grand Rapids, MI 49503-2560 · (616) 391-3570 · Fax (616) 391-3130
Fax(616) 391-3130
Sole ProprietorNo
Enumeration DateApril 15, 2022
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
NPI 1215670583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MI · 5151015836
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
100 MICHIGAN ST NE STE A601, Grand Rapids, MI 49503

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jon Alexander Sanford Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Radiology (Diagnostic Radiology)
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Student in an Organized Health Care Education/Training Program
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503

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 Jon Sanford's NPI number?

The NPI number for Jon Sanford is 1215670583. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Jon Sanford located?

Jon Sanford practices at 100 Michigan St NE Ste A601, Grand Rapids, MI 49503. The listed phone number is (616) 391-3570.

What is Jon Sanford's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jon Sanford enrolled in Medicare?

Yes. Jon Sanford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jon Sanford was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.