Sanjeev Gopal, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

276077 Issued in NY

Practice address

6424 E Broadway Rd
104-105
Mesa, AZ 85206-1750

Phone

(602) 802-8700

Fax

(602) 802-8799

NPI assigned

Jul 31, 2006

Last updated

Jun 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hematology/OncologyAlso: Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
• Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
• Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121
• Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• NM HMO C-SNP

Interoperability endpoints

• Direct secure messaging: sgopal172568@direct.honorhealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Honorhealth Ambulatory

  dba HonorHealth Research Institute

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1407050917
  Medicare reassignment Care Compare group NPD
• Honorhealth Ambulatory

  • Cardiovascular Disease Physician
  • Phoenix, AZ
  • NPI 1649894890
  NPD
• Honorhealth Ambulatory

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1891518130
  NPD
• Arizona Radiation Therapy Management Services Inc

  dba Prostate Solutions of Arizona

  • Urology Physician
  • Phoenix, AZ
  • NPI 1124363064
  NPD (past)
• Arizona Skin and Dermatology PC

  • Dermatology Physician
  • Sun City, AZ
  • NPI 1558767962
  NPD (past)
• Honorhealth Ambulatory

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Scottsdale, AZ
  • NPI 1053881938

  Internal Medicine

  NPD (past)
• MD Med Inc

  dba Sierra Vista Cancer Center

  • Multi-Specialty Clinic/Center
  • Sierra Vista, AZ
  • NPI 1700964038
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba Chandler Regional Medical Center

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  Care Compare affiliation
• Dignity Health

  dba Mercy Gilbert Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088
  Care Compare affiliation
• Honorhealth

  dba HonorHealth Four Peaks Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1427875061
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Florence, AZ
  • NPI 1497572036
  Care Compare affiliation
• Honorhealth

  dba HonorHealth John C. Lincoln Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation
• Honorhealth

  dba HonorHealth Scottsdale Osborn Medical Center

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1811951429
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1861219404
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1003821430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 E BROADWAY RD",
            "address_2": "104-105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061750",
            "telephone_number": "602-802-8700",
            "fax_number": "602-802-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E BROADWAY RD",
            "address_2": "104-105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061750",
            "telephone_number": "602-802-8700",
            "fax_number": "602-802-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "SANJEEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "276077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "Z159340",
            "identifier": "1710322946",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "3Z4309",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00853763",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "206531",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178311",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1003821430",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7905050",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5336171",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla Anne Goodwin, PROF. FOSTER HOME
• Richard Lewis Goodwin
• Goodworks Counseling, Inc.
• Laura Ann Goodyear
• Uma Gopakumar, NP-C
• Subha Gopinath, MD
• Chanel Gordon
• Molly Gordon
• Andrea White Gorman, PHD, RD, LPC
• Ashley Gorman, LMSW

• Hematology & Oncology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Hematology & Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.