JEREMY SANDBERG DO
NPI 1457094807
Anesthesiology in Dayton, OH

Active since April 14, 2022PECOS EnrolledAccepts Medicare Assignment
405 W GRAND AVE, DAYTON, OH 45405(937) 723-3245 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2026, Apr 14, 2022 (2 updates tracked since 2022).

About Jeremy Sandberg Do NPPES

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

JEREMY SANDBERG DO (NPI 1457094807) is an individual anesthesiology provider in Dayton, Ohio, licensed in Missouri (2026021219) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Ozarks Healthcare, and maintains a secondary practice location in West Plains.

NPPES Registry Identity

NPI1457094807
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJEREMY SANDBERGCredential: DO
Location Address405 W GRAND AVEDayton, OH 45405-7538
Mailing Address405 W Grand AveDayton, OH 45405-7538 · (937) 723-3245
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2022
Enumeration DateApril 14, 2022
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1457094807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MO · 2026021219
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
405 W GRAND AVE, Dayton, OH 45405

Secondary Practice Location 1

Location 11100 N Kentucky AveWest Plains, MO 65775-2029 · Phone (417) 256-9111

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

Jeremy Sandberg Do 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 ID8325425820
PECOS Enrollment IDI20260527003056
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.

Medicare Billing Reassignment

Medicare enrollment records show Jeremy Sandberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
9104 STATE HIGHWAY 19
Winona, MO 65588
  • Reassigned Medicare billing, Missouri enrollment
  • 338 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260078
Location1100 Kentucky AveWest Plains, MO 65775 · Howell County
Emergency services Birthing friendly

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.

Emergency Medicine
405 W GRAND AVE
DAYTON, OH 45405
Physical Therapist
405 W GRAND AVE
DAYTON, OH 45405
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Emergency Medicine
405 W GRAND AVE
DAYTON, OH 45405
Obstetrics & Gynecology
405 W GRAND AVE
DAYTON, OH 45405
Nurse Anesthetist, Certified Registered
405 W GRAND AVE
DAYTON, OH 45405
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405
Student in an Organized Health Care Education/Training Program
405 W GRAND AVE
DAYTON, OH 45405

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 Jeremy Sandberg's NPI number?

The NPI number for Jeremy Sandberg is 1457094807. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Jeremy Sandberg located?

Jeremy Sandberg practices at 405 W Grand Ave, Dayton, OH 45405. The listed phone number is (937) 723-3245.

What is Jeremy Sandberg's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jeremy Sandberg enrolled in Medicare?

Yes. Jeremy Sandberg 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 Jeremy Sandberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Sandberg reassigns Medicare benefits to Ozarks Medical Center (Winona, MO). 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 Jeremy Sandberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeremy Sandberg affiliated with any hospitals?

According to CMS data, Jeremy Sandberg is affiliated with Ozarks Healthcare.

When was this NPI record last updated?

The NPPES record for Jeremy Sandberg was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.