Organization Active NPI

Sanova Physical Medicine PLLC

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
National Provider Identifier
1255295994
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SANOVA PHYSICAL MEDICINE PLLC
Practice address
5983 E Grant Rd Ste 101
Tucson, AZ 85712-2366
Phone
(520) 436-5198
Fax
(520) 363-6153
NPI assigned
Dec 15, 2025
Last updated
Aug 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Authorized official

Name
Kiyan Rad, DONPI 1649690769
Title
Owner
Phone
(520) 201-6990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

5983 E Grant Rd Ste 101
Tucson, AZ 85712-2366

Mailing address

PO Box 89520
Tucson, AZ 85752-9520
Phone (520) 436-5198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260113000855 AZ Part B Supplier - Clinic/Group Practice 9931685633 Receives reassigned benefits from 3 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786838400000",
    "number": "1255295994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89520",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857529520",
            "telephone_number": "520-436-5198",
            "fax_number": "520-363-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5983 E GRANT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122366",
            "telephone_number": "520-436-5198",
            "fax_number": "520-363-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANOVA PHYSICAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "RAD",
        "authorized_official_first_name": "KIYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-201-6990",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.