Individual provider Active NPI

Sandra Soliman

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1083321889
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9484 Issued in AZ
Practice address
3303 E Baseline Rd Ste 204
Gilbert, AZ 85234-2728
Phone
(480) 802-9977
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9484 AZ
Physician Assistant 363A00000X 9484 AZ Primary

Addresses

Primary practice location

3303 E Baseline Rd Ste 204
Gilbert, AZ 85234-2728

Mailing address

2244 E Fandango Dr
Gilbert, AZ 85298-1131

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221115003511 AZ Practitioner - Physician Assistant 8921476318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiojost PLLCGroup PAC ID 2062429913, 18 clinicians

Practice addresses (Care Compare)

1600 Willow Creek Rd
Prescott, AZ 86301-1108
Phone (480) 945-4343

3033 N Windsong Dr
Suite 101
Prescott Valley, AZ 86314-2296
Phone (928) 955-4074

3514 N Power Rd
Suite 105
Mesa, AZ 85215-2907
Phone (480) 422-8533

7529 E Broadway Rd
BLDG 2
Mesa, AZ 85208-2005
Phone (480) 945-4343

Hospital & facility affiliations

  • Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

Merit-based Incentive Payment System (MIPS)

Final score
89.38 of 100Reported as group
Quality
94.74
Promoting interoperability
99
Improvement activities
40
Cost
70.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9484AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chan Heart Rhythm Institute PLLC PastSince Sep 29, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sandra.soliman.p1@direct.swcva.nextgenshare.com
  • Direct secure messaging: sandra.soliman.p2@direct.swcva.nextgenshare.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1083321889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 E FANDANGO DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852981131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 204",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342728",
            "telephone_number": "480-802-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "9484",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.