Active NPI
Bardomiano Sanchez Jr.
- Internal Medicine Physician
- Spokane, WA
National Provider Identifier
1184736407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00035747
- Practice address
- 5633 N Lidgerwood St
Spokane, WA 99208-1224 - Phone
- (509) 252-6336
- Fax
- (509) 252-6337
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00035747 | WA | Primary |
Addresses
Primary practice location
5633 N Lidgerwood St
Spokane, WA 99208-1224
Mailing address
15409 N Fircrest Cir
Spokane, WA 99208-8243
Phone (509) 466-6158
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00395897 | Other | WA | MEDICARE RAILROAD |
| CG4026 | Other | WA | MEDICARE RR GROUP |
| 8470353 | Medicaid | WA | |
| G000362000 | Other | WA | MEDICARE GROUP |
Other names 1
- Dr. Bardo Sanchez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 56.51 of 100
- Quality
- 25.99
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00035747 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of California, Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Berkeley, CA
- NPI 1487930541
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1184736407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15409 N FIRCREST CIR",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992088243",
"telephone_number": "509-466-6158",
"fax_number": "509-466-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5633 N LIDGERWOOD ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992081224",
"telephone_number": "509-252-6336",
"fax_number": "509-252-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "BARDOMIANO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00035747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00395897",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR GROUP",
"identifier": "CG4026",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8470353",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "G000362000",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BARDO",
"last_name": "SANCHEZ",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.