Individual provider Active NPI

Sandra M Dostert, DO

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1619035888
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4117 Issued in AZ
Practice address
3190 N Swan Rd
Tucson, AZ 85712-1227
Phone
(520) 547-9700
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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 4117 AZ Primary

Addresses

Primary practice location

3190 N Swan Rd
Tucson, AZ 85712-1227

Mailing address

5055 E Broadway Blvd Ste A100
Tucson, AZ 85711-3629
Phone (520) 382-1205

Other practice location 1

6238 East Pima Street
Tucson, AZ 85712
Phone (520) 290-0022

Other practice location 2

3190 N Swan Rd
Tucson, AZ 85712-1227
Phone (520) 547-9700

Other identifiers 1

IdentifierTypeStateIssuer
884785MedicaidAZ

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
I20041012000948 AZ Practitioner - Family Practice 3274524947 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Nov 30, 2012 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Nov 30, 2012 Accepting new patients
Arizona Community Physician PC CurrentSince Jan 1, 2018 Accepting new patients
Northwest Rancho Vistoso Imaging Services LLC Past Accepting new patients
Casa Grande Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients

Locations

1295 W Duval Mine Rd
Ste 131
Green Valley, AZ 85614
Phone (520) 399-2027

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

10120 E Old Vail Rd
Ste 100
Tucson, AZ 85747
Phone (520) 989-8012

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

3190 N Swan Rd
Tucson, AZ 85712
Phone (520) 547-9700

3870 W River Rd
Ste 126
Tucson, AZ 85741
Phone (520) 209-7000

13101 N Oracle Rd
Tucson, AZ 85739
Phone (520) 320-7999

4001 E Sunrise Dr
Ste 121
Tucson, AZ 85718
Phone (520) 209-7000

8333 N Silverbell Rd
Tucson, AZ 85743
Phone (520) 202-7700

Interoperability endpoints

  • Direct secure messaging: sdostert18254@azacp.direct-ci.com

Organizations & group practices 8

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1619035888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD STE A100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113629",
            "telephone_number": "520-382-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121227",
            "telephone_number": "520-547-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6238 East Pima Street",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85712",
            "country_code": "US",
            "telephone_number": "520-290-0022",
            "fax_number": "520-290-0044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3190 N Swan Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857121227",
            "country_code": "US",
            "telephone_number": "520-547-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSTERT",
        "first_name": "SANDRA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884785",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.