Individual provider Active NPI

Bryan Mathew Sandweiss, MD

  • Pediatric Cardiology Physician
  • Phoenix, AZ
National Provider Identifier
1467478305
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
30094 Issued in AZ
Practice address
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone
(602) 933-3366
Fax
(602) 933-4166
NPI assigned
Jul 14, 2006
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 30094 AZ Primary

Addresses

Primary practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Mailing address

3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1814

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
I20050209001093 AZ Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 7416908157 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Dec 18, 2010 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jul 1, 2020 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jul 1, 2020 Accepting new patients
Phoenix Children's Medical Group CurrentSince Mar 1, 2017 Accepting new patients
District Medical Group, Inc CurrentSince Dec 18, 2010 Accepting new patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients
Phoenix Children's Hospital Pediatrics CurrentSince Mar 1, 2017 Accepting new patients
Pediatric Cardiac Care of Arizona Past Accepting new patients
District Medical Group, Inc Pediatrics Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Pediatric Cardiology Past Accepting new patients

Locations

1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1501 N Gilbert Rd
Ste 203
Gilbert, AZ 85234
Phone (602) 833-7320

3420 S Mercy Rd
Ste 121
Gilbert, AZ 85297
Phone (602) 933-2263

5310 W Thunderbird Rd
Ste 110
Glendale, AZ 85306
Phone (602) 865-4065

5310 W Thunderbird Rd
Ste 214
Glendale, AZ 85306
Phone (602) 865-4480

5310 W Thunderbird Rd
Ste 310
Glendale, AZ 85306
Phone (602) 865-4470

5757 W Thunderbird Rd
Ste E353
Glendale, AZ 85306
Phone (480) 315-8412

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1432 S Dobson Rd
Ste 512
Mesa, AZ 85202
Phone (480) 412-6336

5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

1920 E Cambridge Ave
Ste 301
Phoenix, AZ 85006
Phone (602) 253-6000

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

9305 W Thomas Rd
Ste 125
Phoenix, AZ 85037
Phone (602) 865-4065

726 Gail Gardner Way
Ste A
Prescott, AZ 86305
Phone (928) 443-9580

10250 N 92nd St
Ste 212
Scottsdale, AZ 85258
Phone (480) 551-5154

7505 S McClintock Dr
Ste 103
Tempe, AZ 85283
Phone (480) 755-1000

5983 E Grant Rd
Ste 117
Tucson, AZ 85712
Phone (520) 320-7999

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1467478305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182327",
            "telephone_number": "602-933-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-3366",
            "fax_number": "602-933-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDWEISS",
        "first_name": "BRYAN",
        "middle_name": "MATHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "30094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.