Dr Darek Sanford, MD - Medicare Cardiovascular Disease (cardiology) in Newport, KY

Dr Darek Sanford, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Newport, Kentucky. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Summit Medical Group, Inc, Summit Medical Group, Inc and his current practice location is 1400 Grand Avenue, Newport, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 905-3073.

Dr Darek Sanford is licensed to practice in Kentucky (license number 52743) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932442175.

Contact Information

Dr Darek Sanford, MD
1400 Grand Avenue,
Newport, KY 41071-2570
(859) 905-3073
(859) 441-1460

Map and Direction




Physician's Profile

Full NameDr Darek Sanford
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience11 Years
Location1400 Grand Avenue, Newport, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Darek Sanford graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1932442175
  • Provider Enumeration Date: 04/05/2013
  • Last Update Date: 04/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8628219946
  • Enrollment ID: I20190730002659

Medical Identifiers

Medical identifiers for Dr Darek Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932442175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 52743 (Kentucky)Primary
207RC0000XInternal Medicine - Cardiovascular Disease 01085343A (Indiana)Secondary
207R00000XInternal Medicine 57.023023 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth EdgewoodEdgewood, KYHospital
St Elizabeth Ft ThomasFort thomas, KYHospital
St Elizabeth FlorenceFlorence, KYHospital
Dearborn County HospitalLawrenceburg, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240712
Summit Medical Group, Inc2163326240712

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Darek Sanford allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Darek Sanford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Darek Sanford, MD
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 344-5555
Dr Darek Sanford, MD
1400 Grand Avenue,
Newport, KY 41071-2570

Ph: (859) 905-3073

Reviews and Comments


Internal Medicine Doctors in Newport, KY

Robert J Toltzis, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Grand Ave, Newport, KY 41071
Phone: 859-905-3073    Fax: 859-441-1460
Donald A Saelinger, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 17 E. Sixth St, Newport, KY 41017
Phone: 859-431-8285    Fax: 859-431-8286
Dr. Kami Attarhaye Tehrani, D.O.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Grand Ave, Newport, KY 41071
Phone: 859-905-3073    Fax: 859-441-1460
Dr. Mark Allen Schroer, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 17 East Sixth Street, Newport, KY 41071
Phone: 859-431-8285    Fax: 859-431-8286

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.