Sashi V Arabolu, MD
Individual provider Active NPI Anesthesiology Physician · Gilbert, AZ
NPI 1508022765 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1508022765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 49430 (AZ)
- Practice address
- 428 S Gilbert Rd Ste 115
Gilbert, AZ 85296-2262 - Phone
- (480) 507-2961
- Fax
- (480) 507-2971
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Oklahoma College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chandler Anesthesia Consultants LLC
Practice addresses (Care Compare)
1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (480) 728-3000
Hospital & facility affiliations
- Chandler Regional Medical Center
- Mercy Gilbert Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140814001215 | AZ | Practitioner - Anesthesiology | 7416006200 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125050676 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler Anesthesia Consultants LLC | Anesthesiology | Current |
Accepting new patients |
| Christopher Beneduce | Anesthesiology | Past |
Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 125050676 | IL | |
| Anesthesiology Physician | 207L00000X | 49430 | AZ | Yes |
Addresses
Primary practice location
428 S Gilbert Rd Ste 115
Gilbert, AZ 85296-2262
Mailing address
PO Box 1847
Gilbert, AZ 85299-1847
Phone (480) 507-2961
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 927734 | Medicaid | AZ |
NPI Registry JSON
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1508022765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1847",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852991847",
"telephone_number": "480-507-2961",
"fax_number": "480-507-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 S GILBERT RD STE 115",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852962262",
"telephone_number": "480-507-2961",
"fax_number": "480-507-2971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARABOLU",
"first_name": "SASHI",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "125050676",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "49430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "927734",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
- Apr DME LLC
- Aprajita Nakra DPM PC
- Apria Healthcare LLC
- Aps Iom Professional LLC
- Aps Iom Technical LLC
- Jorge Luis Aragon
- Thomas Arbaugh
- Stephanie Rozenhart Arbet
- Noel P Arce
- Austen David Archibald
All providers in Gilbert, AZ · Anesthesiology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.