Active NPI
Ranjit Kumar Sood, MD
- Surgery Physician
- Casa Grande, AZ
National Provider Identifier
1477558419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10691
- Practice address
- 633 E Cottonwood LN
Ste B
Casa Grande, AZ 85222-2056 - Phone
- (520) 836-1579
- Fax
- (520) 421-3423
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 10691 | AZ | Primary |
Addresses
Primary practice location
633 E Cottonwood LN
Ste B
Casa Grande, AZ 85222-2056
Mailing address
633 E Cottonwood LN
Ste B
Casa Grande, AZ 85222-2056
Phone (520) 836-1579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229791 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10691 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1477558419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 E COTTONWOOD LN",
"address_2": "STE B",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852222056",
"telephone_number": "520-836-1579",
"fax_number": "520-421-3423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 E COTTONWOOD LN",
"address_2": "STE B",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852222056",
"telephone_number": "520-836-1579",
"fax_number": "520-421-3423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOOD",
"first_name": "RANJIT",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "10691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "229791",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.