DR. JOHN WALTER SANDERS (MD) – Emergency Medicine Physician, NPI 1114030830

DR. JOHN WALTER SANDERS (MD) is a healthcare provider. based in Dallas, Texas. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. H0785 (TX). The NPI Number for DR. JOHN WALTER SANDERS (MD) is 1114030830

Main info

Male
Name
DR. JOHN WALTER SANDERS (MD)
NPI
1114030830
Phone
(214) 712-2019
Address
1717 MAIN ST
Enumeration Date
16 August 2006
Last Update Date
8 July 2007
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

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Provider Addresses for DR. JOHN WALTER SANDERS (MD)

  • Comerica Bank, 1717, Main Street, Downtown PID, Dallas, TX, Dallas, Dallas County, Texas, 75226, United States

    SUITE 5200

    DALLAS, TX 752014612

    Phone: (214) 712-2019

    Fax: (214) 712-2487

    Type: Mailing

  • Woodland Heights Medical Center, 505, South John Redditt Drive, Lufkin, Angelina County, Texas, 75904, United States

    LUFKIN, TX 759043120

    Phone: (936) 637-8311

    Fax: (214) 712-2487

    Type: Location

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: 2004-01-28

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
I20040128000372IEmergency MedicineTXTBD

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

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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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making305291$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only171162$0
99284Emergency department visit with moderate level of medical decision making159148$0
99291Critical care, first 30-74 minutes2323$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 75201)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. JOHN WALTER SANDERS (MD)'s NPI?
Yes. DR. JOHN WALTER SANDERS (MD) is listed with NPI 1114030830 in the public NPI dataset.
Does the file indicate DR. JOHN WALTER SANDERS (MD) is practicing under active NPI?
Directory data currently reports DR. JOHN WALTER SANDERS (MD) as active.
What is DR. JOHN WALTER SANDERS (MD) best known for clinically?
Directory data describes DR. JOHN WALTER SANDERS (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JOHN WALTER SANDERS (MD)?
DR. JOHN WALTER SANDERS (MD)'s geographic hint is Dallas, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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