Individual provider Active NPI

Susan F Sandmann-Uy, MD

  • Family Medicine Physician
  • Tempe, AZ
National Provider Identifier
1528035508
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33365 Issued in AZ
Practice address
1492 South Mill Avenue
Suite 312
Tempe, AZ 85281-5676
Phone
(602) 243-7277
Fax
(480) 927-1092
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33365 AZ Primary

Addresses

Primary practice location

1492 South Mill Avenue
Suite 312
Tempe, AZ 85281-5676

Mailing address

2702 North 3Rd Street
Suite 4020
Phoenix, AZ 85004-4608
Phone (602) 323-3344

Other identifiers 1

IdentifierTypeStateIssuer
971350MedicaidAZ

Other names 1

  • Susan F Sandmann Former name

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
I20051010000539 AZ Practitioner - Family Practice 3274558218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Park Health CenterGroup PAC ID 8325949647, 117 clinicians

Practice addresses (Care Compare)

1840 E Broadway Rd
Tempe, AZ 85282-1614
Phone (602) 243-7277

635 E Baseline Rd
Phoenix, AZ 85042-6551
Phone (602) 243-7277

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Park Health Center CurrentSince Feb 15, 2010 Accepting new patients
Mountain Park Health Center CurrentSince Feb 15, 2010 Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients
Mountain Park Health Center Past Accepting new patients
Mountain Park Health Center Past Accepting new patients

Locations

140 N Litchfield Rd
Ste 200
Goodyear, AZ 85338
Phone (602) 640-3550

3830 E Van Buren St
Phoenix, AZ 85008
Phone (602) 806-6655

3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492

6601 W Thomas Rd
Phoenix, AZ 85033

635 E Baseline Rd
Phoenix, AZ 85042

690 N Cofco Center Ct
Ste 230
Phoenix, AZ 85008

1492 S Mill Ave
Ste 312
Tempe, AZ 85281
Phone (480) 921-1100

1840 E Broadway Rd
Tempe, AZ 85282
Phone (602) 323-3444

Interoperability endpoints

  • Direct secure messaging: susan.sandmann-uy.1@18607.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1528035508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 NORTH 3RD STREET",
            "address_2": "SUITE 4020",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044608",
            "telephone_number": "602-323-3344",
            "fax_number": "602-323-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 SOUTH MILL AVENUE",
            "address_2": "SUITE 312",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815676",
            "telephone_number": "602-243-7277",
            "fax_number": "480-927-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDMANN-UY",
        "first_name": "SUSAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "33365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "971350",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SANDMANN",
            "middle_name": "F",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.