NPIMap

Individual provider Active NPI

Amandeep Sodhi, MD

  • Internal Medicine Physician
  • Surprise, AZ
National Provider Identifier
1366419988
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24427 Issued in AZ
Practice address
13921 W Grand Ave
Ste 502
Surprise, AZ 85374-2439
Phone
(623) 214-2200
Fax
(623) 214-2208
NPI assigned
Mar 2, 2006
Last updated
Aug 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24427 AZ Primary

Addresses

Primary practice location

13921 W Grand Ave
Ste 502
Surprise, AZ 85374-2439

Mailing address

13921 W Grand Ave
Ste 502
Surprise, AZ 85374-2439
Phone (623) 214-2200

Other identifiers 2

IdentifierTypeStateIssuer
351809MedicaidAZ
P00605536OtherAZRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051014000574 AZ Practitioner - Internal Medicine 7416972807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westside Primary Care Associates PLLCGroup PAC ID 5597173252, 4 clinicians

Practice addresses (Care Compare)

14420 W Meeker Blvd
Sun City West, AZ 85375-5286

14420 W Meeker Blvd
Suite 107
Sun City West, AZ 85375-5287
Phone (623) 267-6700

865 S Watson Rd
Suite 108
Buckeye, AZ 85326-3468
Phone (623) 267-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24427AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Primary Care LLC Current Accepting new patients
Westside Primary Care Associates PLLC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Cobalt Rehabilitation Hospital IV Past Accepting new patients
Sun Health Corporation Past Accepting new patients
Arizona Internal Medicine PC Internal Medicine PastSince Oct 1, 2007 Accepting new patients

Locations

865 S Watson Rd
Ste 108
Buckeye, AZ 85326
Phone (623) 267-6700

9179 W Thunderbird Rd
Ste B105
Peoria, AZ 85381
Phone (623) 224-5767

13624 W Camino del Sol
Ste 150
Sun City West, AZ 85375
Phone (623) 546-0203

14420 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 267-6700

14420 W Meeker Blvd
Ste 207
Sun City West, AZ 85375
Phone (623) 214-2200

14420 W Meeker Blvd
Ste 107
Sun City West, AZ 85375
Phone (623) 267-6700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JACECD/Endpoint/JACECD

Organizations & group practices 5

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 10

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1366419988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13921 W GRAND AVE",
            "address_2": "STE 502",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742439",
            "telephone_number": "623-214-2200",
            "fax_number": "623-214-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13921 W GRAND AVE",
            "address_2": "STE 502",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742439",
            "telephone_number": "623-214-2200",
            "fax_number": "623-214-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODHI",
        "first_name": "AMANDEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351809",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00605536",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.