AMY L SANDERSON (M.D.) – Pediatric Critical Care Medicine Physician, NPI 1073656468

AMY L SANDERSON (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in PEDIATRIC MEDICINE, CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 220938 (MA). The NPI Number for AMY L SANDERSON (M.D.) is 1073656468

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
AMY L SANDERSON (M.D.)
NPI
1073656468
Phone
(617) 355-7327
Address
300 LONGWOOD AVE
Enumeration Date
15 February 2007
Last Update Date
7 January 2013

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6173556000
Graduation Year
2000 (26 years ago)
PAC ID
0547340218
Group Practice PAC ID
0446155568
Professional Enrollment ID
I20080108000076
Address ID
MA021155724BO300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,245 PEDIATRIC MEDICINE in MA

Provider Addresses for AMY L SANDERSON (M.D.)

  • 300 LONGWOOD AVE

    BADER 634

    BOSTON, MA 021155724

    Phone: (617) 355-7327

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080108000076IPediatric MedicineMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446155568View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YMA
Anesthesiology, Pediatric MedicineMA
-MA
-MA
Anesthesiology, Pediatric Medicine, Critical Care (Intensivists)MA
-MA
A N E S T H E S I O L O G YMA
Pain Management, NeurologyMA
-TN

Reviews

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Frequently asked questions

What identifier follows AMY L SANDERSON (M.D.) across health systems?
The NPI 1073656468 uniquely identifies AMY L SANDERSON (M.D.) in U.S. healthcare data.
Quick check: is AMY L SANDERSON (M.D.) active?
Public NPPES data shows AMY L SANDERSON (M.D.) with an active NPI status right now.
What type of care does AMY L SANDERSON (M.D.) provide?
AMY L SANDERSON (M.D.)'s profile centers on Pediatric Critical Care Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to AMY L SANDERSON (M.D.)?
AMY L SANDERSON (M.D.) is associated with Boston, Massachusetts in the same public data insurers reference.
Why is information missing for AMY L SANDERSON (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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