Active NPI
Paul A Sandoval, MD
- Anesthesiology Physician
- Fort Collins, CO
National Provider Identifier
1043447667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 51954
- Practice address
- 3702 Automation Way Ste 103
Fort Collins, CO 80525-5738 - Phone
- (970) 224-2985
- Fax
- (970) 223-1118
- NPI assigned
- Jun 22, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fort Collins, CO
- NPI 1851389613
Anesthesiology, CO
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Colorado School of Medicine, Aurora, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Colorado Anesthesia Professionals PLLC
Practice addresses (Care Compare)
1024 S Lemay Ave
Ncap PLLC
Fort Collins, CO 80524-3929
Phone (970) 495-7000
2500 Rocky Mountain Ave
Loveland, CO 80538-9004
6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-2985
Hospital & facility affiliations
- Poudre Valley Hospital
- Medical Center of the Rockies
- Uchealth Greeley Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130919000605 | CO | Practitioner - Anesthesiology | 8123262847 | Reassigns benefits to 1 organization |
| I20220314000805 | WY | Practitioner - Anesthesiology | 8123262847 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51954 | CO | MD | Anesthesiology Physician |
| TL3374 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ncap Imh, LLC | Anesthesiology | Current | Accepting new patients |
| Northern Colorado Anesthesia Professionals PLLC | Anesthesiology | Current | Accepting new patients |
Locations
3702 Automation Way
Ste 103
Fort Collins, CO 80525
Phone (970) 922-3622
1236 E Elizabeth St
Ste 1
Fort Collins, CO 80524
Phone (970) 484-6256
1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000
2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425
255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TL3374 | CO | |
| Anesthesiology Physician | 207L00000X | 51954 | CO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3702 Automation Way Ste 103
Fort Collins, CO 80525-5738
Mailing address
3702 Automation Way Ste 103
Fort Collins, CO 80525-5738
Phone (970) 224-2985
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73135381 | Medicaid | CO | |
| P01222769 | Other | CO | RR MEDICARE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2019.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1043447667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 AUTOMATION WAY STE 103",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255738",
"telephone_number": "970-224-2985",
"fax_number": "970-223-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 AUTOMATION WAY STE 103",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255738",
"telephone_number": "970-224-2985",
"fax_number": "970-223-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "PAUL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL3374",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "51954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "73135381",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01222769",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.