Individual provider Active NPI

Sankalp Choudhri, M.D.

  • Pulmonary Disease Physician
  • Mesa, AZ
National Provider Identifier
1184835282
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
38218 Issued in AZ
Practice address
3155 E Southern Ave
Suite 203
Mesa, AZ 85204-5519
Phone
(480) 325-8173
Fax
(480) 325-8179
NPI assigned
May 24, 2007
Last updated
Jan 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 38218 AZ
Pulmonary Disease Physician 207RP1001X 38218 AZ Primary

Addresses

Primary practice location

3155 E Southern Ave
Suite 203
Mesa, AZ 85204-5519

Mailing address

3155 E Southern Ave
Suite 203
Mesa, AZ 85204-5519
Phone (480) 325-8173

Other identifiers 6

IdentifierTypeStateIssuer
1235274614OtherGROUP NPI
Z148911OtherAZPTAN MD ANDERSON
416390MedicaidAZ
Z78334OtherAZGROUP MEDICARE PTAN
38218OtherAZAZ LICENSE
336456OtherAZGROUP MEDICAID

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080815000439 AZ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Other (Physician) 3476516113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2121 E Pecos Rd
Suite 3
Chandler, AZ 85225-6075
Phone (480) 325-8173

3155 E Southern Ave
Suite 103
Mesa, AZ 85204-5520
Phone (480) 325-8173

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38218AZMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Cancer Center Specialists LLC CurrentSince Sep 26, 2011 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 26, 2011 Accepting new patients
Arizona Lung & Sleep Institute PLLC Pulmonary Disease PastSince Mar 18, 2024 Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1184835282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 E SOUTHERN AVE",
            "address_2": "SUITE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045519",
            "telephone_number": "480-325-8173",
            "fax_number": "480-325-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 E SOUTHERN AVE",
            "address_2": "SUITE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045519",
            "telephone_number": "480-325-8173",
            "fax_number": "480-325-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHRI",
        "first_name": "SANKALP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "38218",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "38218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1235274614",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MD ANDERSON",
            "identifier": "Z148911",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416390",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "Z78334",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "38218",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "336456",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.