Active NPI
Sandra M Dostert, DO
- Family Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4117
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 884785 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Community Physicians PC | Family Medicine | Current | Accepting new patients |
| Northwest Allied Physicians LLC | Current | Accepting new patients | |
| Northwest Allied Physicians, LLC | Current | Accepting new patients | |
| Arizona Community Physician PC | Current | 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
- 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.
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1205871076
AZ, Family Medicine
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Tucson, AZ
- NPI 1922141902
-
- Durable Medical Equipment & Medical Supplies
- Oro Valley, AZ
- NPI 1821302910
-
- Urgent Care Clinic/Center
- Casa Grande, AZ
- NPI 1265496863
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Clinic/Center
- Tucson, AZ
- NPI 1730132036
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1326000597
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.