Santiago L Lardizabal, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

14445 Issued in AZ

Practice address

19424 N RH Johnson Blvd
Sun City West, AZ 85375

Phone

(623) 584-9985

Fax

(623) 584-9986

NPI assigned

Mar 3, 2006

Last updated

Mar 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Anesthesiology

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Anesthesiology Consultants IncGroup PAC ID 4880591841, 284 clinicians

Banner Hospital Based Physicians Arizona LLCGroup PAC ID 3274782487, 636 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
• Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115
• Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

Merit-based Incentive Payment System (MIPS)

Final score

83.7 of 100Reported as group

Quality

64.97

Promoting interoperability

98

Improvement activities

40

Cost

69.88

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Banner Hospital Based Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • San Tan Valley, AZ
  • NPI 1275889891
  Medicare reassignment Care Compare group NPD
• Valley Anesthesiology Consultants, Inc.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1285660704
  Medicare reassignment Care Compare group NPD
• Anesthesia Medical Professionals, PC

  • Specialist
  • Sun City West, AZ
  • NPI 1801849500
  Medicare reassignment Authorized official
• Gateway Anesthesia and Pain Associates PLLC

  • Pain Medicine Physician
  • Mesa, AZ
  • NPI 1710026125

  Anesthesiology

  Medicare reassignment NPD
• Anesthesia Medical Proffesionals

  • Certified Registered Nurse Anesthetist
  • Sun City West, AZ
  • NPI 1447440326
  Authorized official Same address or phone
• Banner Hospital Based Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • Gilbert, AZ
  • NPI 1124374822
  NPD
• Banner Hospital Based Physicians Arizona LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1780445171
  NPD
• Arizona Anesthesia Consultants, Inc.

  • Anesthesiology Physician
  • Glendale, AZ
  • NPI 1740402940
  NPD (past)

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

• Banner Estrella Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1275566200
  Care Compare affiliation
• Banner Gateway Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1699884858
  Care Compare affiliation
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  Care Compare affiliation

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1306813845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7640",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-584-9985",
            "fax_number": "623-584-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19424 N RH JOHNSON BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "85375",
            "telephone_number": "623-584-9985",
            "fax_number": "623-584-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARDIZABAL",
        "first_name": "SANTIAGO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "14445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239427",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Armando Lahud, M.D.
• Arun Lakshmipathy, M.D.
• Roshan Ramesh Lala, M.D.
• Sarah Landherr, COTA
• Sunshine Langworthy, PA
• Richard Gray Lassiter, M.D
• Cindy Le
• Dai-an Nguyen Le, PA
• Le Huu Le, D.O.
• Melissa Christine Lebouton, PAC

• Anesthesiology Physician in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.

Verify at the official NPI Registry.