NPIMap

Organization Active NPI

Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
National Provider Identifier
1033745708
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
SONORAN RADIOLOGY LTD
Practice address
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone
(623) 299-8743
NPI assigned
Mar 13, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Karen Vaughn
Title
Ao
Phone
(629) 317-1465

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 1,060

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, HI, CA, OH, OK, CO, PA, NJ, SC, TX, DC, VA, MT, NC, OR, MI, NE, GA, AL, WI, FL, NV, IL, RI, TN, NY, NM, NH, ID, MN, UT, CT, DE, KS, MO, MS, WA, MD, MA, ME, LA, KY, IN, SD, IA, WY, VT47 enrollments

Enrollment records 47

Enrollment IDStateProvider typePAC IDDetails
O20200526002412 AZ Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 452 practitioners
O20200701001321 HI Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 4 practitioners
Practice locations: Honolulu, HI; Lahaina, HI; Waikoloa, HI
O20200701001467 CA Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 93 practitioners
O20200706002814 OH Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 17 practitioners
Practice locations: Port Clinton, OH; Powell, OH; Put in Bay, OH; Solon, OH; University Heights, OH; West Chester, OH; Westlake, OH; Worthington, OH…
O20200714000814 OK Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 6 practitioners
Practice locations: Owasso, OK; Tulsa, OK; Stratford, OK; Oklahoma City, OK; Lawton, OK; Edmond, OK; Ada, OK; Muskogee, OK
O20200723000046 CO Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 63 practitioners
Practice locations: Denver, CO; Fort Collins, CO; Evergreen, CO; Edwards, CO; Durango, CO; Franktown, CO; Grand Junction, CO; Greenwood Village, CO…
O20200730001555 PA Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 15 practitioners
Practice locations: Wynnewood, PA; Bolivar, PA; Upper Saint Clair, PA; Sewickley, PA; Pittsburgh, PA; Philadelphia, PA; Mars, PA; Landenberg, PA…
O20200807000886 NJ Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 6 practitioners
Practice locations: Saddle Brook, NJ; Weehawken, NJ; Linwood, NJ; Jersey City, NJ; Haddonfield, NJ; Denville, NJ
O20200811000015 SC Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 3 practitioners
Practice locations: Camden, SC; Myrtle Beach, SC; Hilton Head Island, SC
O20200821002956 TX Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 141 practitioners
O20200903001584 DC Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 7 practitioners
Practice locations: Washington, DC; Silver Spring, MD; Fairfax, VA; Potomac, MD; Bethesda, MD
O20201015001104 VA Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 7 practitioners
Practice locations: Amissville, VA; Brambleton, VA; Fairfax, VA; Henrico, VA; Leesburg, VA; Moseley, VA; Williamsburg, VA; Winchester, VA
O20201019003197 MT Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 2 practitioners
Practice locations: Billings, MT
O20201020001892 NC Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 13 practitioners
Practice locations: Banner Elk, NC; Winston Salem, NC; Southport, NC; Southern Pines, NC; Pinehurst, NC; N Topsail Beach, NC; Hillsborough, NC; High Point, NC…
O20201022002229 OR Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 14 practitioners
Practice locations: Newberg, OR; Portland, OR; Hood River, OR; Eugene, OR; Corvallis, OR; Bend, OR; Ashland, OR
O20201023002774 MI Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 9 practitioners
Practice locations: Temperance, MI; West Bloomfield, MI; Rochester Hills, MI; Northville, MI; Grand Blanc, MI; Bloomfield Hills, MI; Brighton, MI; Howell, MI
O20201027002503 NE Part B Supplier - Clinic/Group Practice 3375964505 Practice locations: Nebraska City, NE
O20201028001361 GA Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 16 practitioners
Practice locations: Sandy Springs, GA; Saint Marys, GA; Richmond Hill, GA; Peachtree City, GA; Atlanta, GA; Milton, GA; Marietta, GA; Jefferson, GA…
O20201030000554 AL Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 6 practitioners
Practice locations: Madison, AL; Birmingham, AL; Vestavia, AL; Montgomery, AL
O20201105000714 WI Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 8 practitioners
Practice locations: Appleton, WI; Woodruff, WI; Washington Island, WI; Verona, WI; Thiensville, WI; Mequon, WI; Middleton, WI; Janesville, WI
O20201110002097 FL Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 53 practitioners
O20201111002372 NV Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 20 practitioners
Practice locations: Stateline, NV; Reno, NV; Las Vegas, NV; Henderson, NV
O20201112000418 IL Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 22 practitioners
Practice locations: Highland Park, IL; Homewood, IL; Lincolnwood, IL; Naperville, IL; Oak Brook, IL; Peoria, IL; Prairieville, IL; South Barrington, IL…
O20201123000957 RI Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 2 practitioners
Practice locations: Hope, RI; Providence, RI
O20201124000433 TN Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 11 practitioners
Practice locations: Knoxville, TN; Signal Mountain, TN; Nashville, TN; Kingston, TN; Hendersonville, TN; Franklin, TN; Collierville, TN; Brentwood, TN
O20210107002039 NY Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 8 practitioners
Practice locations: New York, NY; Pound Ridge, NY; Manorville, NY; Locust Valley, NY; Amherst, NY
O20210226000394 NM Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 12 practitioners
Practice locations: Las Cruces, NM; Santa Fe, NM; Placitas, NM; Mimbres, NM; Albuquerque, NM
O20210513000239 NH Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NH
O20210525001417 ID Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 3 practitioners
Practice locations: Kimberly, ID; Boise, ID; Idaho Falls, ID
O20210525002929 MN Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 6 practitioners
Practice locations: Blaine, MN; Eden Prairie, MN; Edina, MN; Minneapolis, MN; Nevis, MN; Rochester, MN; Sartell, MN
O20210608002054 UT Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 12 practitioners
Practice locations: Park City, UT; West Jordan, UT; Spanish Fork, UT; Highland, UT; Centerville, UT; Cottonwood Heights, UT; Draper, UT; Heber City, UT
O20210609000990 CT Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 3 practitioners
Practice locations: Farmington, CT; Stamford, CT; West Hartford, CT
O20210624000005 DE Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE
O20210715000343 KS Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 4 practitioners
Practice locations: Leawood, KS; Manhattan, KS
O20210715000420 MO Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 3 practitioners
Practice locations: Columbia, MO; Joplin, MO; Saint Louis, MO
O20210716000795 MS Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, MS
O20210722003624 WA Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 11 practitioners
Practice locations: Woodinville, WA; Walla Walla, WA; Vancouver, WA; Tacoma, WA; Olympia, WA; Kingston, WA; Gold Bar, WA; Friday Harbor, WA…
O20210814000281 MD Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 6 practitioners
Practice locations: Baltimore, MD; White Plains, MD; Reisterstown, MD; Pikesville, MD; Laurel, MD; Fulton, MD; Forest Hill, MD
O20211011000162 MA Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 10 practitioners
Practice locations: Needham, MA; Weston, MA; West Stockbridge, MA; Scituate, MA; Newton, MA; Hingham, MA; Franklin, MA; Dorchester, MA…
O20211122000358 ME Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Elizabeth, ME; South Portland, ME
O20211230000257 LA Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 6 practitioners
Practice locations: Abita Springs, LA; Baton Rouge, LA; Bossier City, LA; Metairie, LA; Shreveport, LA; Slidell, LA
O20220303002553 KY Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 6 practitioners
Practice locations: Nicholasville, KY; Louisville, KY; Goshen, KY
O20230118002254 IN Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 2 practitioners
Practice locations: Crown Point, IN; Bloomington, IN
O20240122004096 SD Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 2 practitioners
Practice locations: Ethan, SD; Rapid City, SD
O20240408000757 IA Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 2 practitioners
Practice locations: Urbandale, IA
O20250113001885 WY Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, WY
O20260618000104 VT Part B Supplier - Clinic/Group Practice 3375964505 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, VT

National Provider Directory

National Provider Directory

Locations (25 of 28)

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

16838 E Palisades Blvd
Ste 151
Fountain Hills, AZ 85268

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

20940 N Tatum Blvd
Ste 390
Phoenix, AZ 85050
Phone (480) 407-0060

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

18444 N 25th Ave
Ste 140
Phoenix, AZ 85023
Phone (623) 465-6940

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

37100 N Gantzel Rd
Ste 107
San Tan Vly, AZ 85140
Phone (480) 394-4480

7301 E 2nd St
Ste 112
Scottsdale, AZ 85251

20401 N 73rd St
Scottsdale, AZ 85255

20201 N Scottsdale Healthcare Dr
Ste 190
Scottsdale, AZ 85255

9700 N 91st St
Ste B100
Scottsdale, AZ 85258

7301 E 2nd St
Ste 114
Scottsdale, AZ 85251

151 Colonia de Salud
Ste B
Sierra Vista, AZ 85635
Phone (520) 263-3835

13909 W Camino del Sol
Ste 101
Sun City West, AZ 85375
Phone (623) 544-7300

13995 W Statler Blvd
Surprise, AZ 85374
Phone (623) 478-3100

1761 E Warner Rd
Tempe, AZ 85284
Phone (480) 897-2980

3870 W River Rd
Tucson, AZ 85741
Phone (520) 219-6616

10568 N Oracle Rd
Ste 100
Tucson, AZ 85737

814 14TH St 2902
Denver, CO 80202

2555 Tamiami Trl N
#244
Naples, FL 34103

1001 College Blvd W
Bldg 1
Niceville, FL 32578

201 Saint Ignatius Trl
Bolivar, PA 15923

9803 Highway 242
Ste 200
Conroe, TX 77385
Phone (866) 287-3198

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

NPPES NPI Registry

Primary practice location

1400 S Dobson Rd
Mesa, AZ 85202-4707

Mailing address

PO Box 85502
Chicago, IL 60689-5502

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2026.

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1033745708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85502",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024707",
            "telephone_number": "623-299-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN RADIOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "629-317-1465"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.