Individual provider Active NPI

Sundeep Shenoy, M.D.

  • Interventional Cardiology Physician
  • Tucson, AZ
National Provider Identifier
1730331364
Registry record updated Apr 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
48140 Issued in AZ
Practice address
6567 E Carondelet Dr Ste 225
Tucson, AZ 85710-6154
Phone
(520) 886-3432
Fax
(520) 886-0169
NPI assigned
Oct 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48140 AZ
Cardiovascular Disease Physician 207RC0000X 48140 AZ
Hospitalist Physician 208M00000X 48140 AZ
Interventional Cardiology Physician 207RI0011X 48140 AZ Primary

Addresses

Primary practice location

6567 E Carondelet Dr Ste 225
Tucson, AZ 85710-6154

Mailing address

6567 E Carondelet Dr Ste 225
Tucson, AZ 85710-6154
Phone (520) 886-3432

Other identifiers 3

IdentifierTypeStateIssuer
7100175260MedicaidKY
201026720MedicaidIN
0051440MedicaidOH

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
I20140402002488 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133397342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

6567 E Carondelet Dr
Suite 225
Tucson, AZ 85710-6154
Phone (520) 886-3432

Hospital & facility affiliations

  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011
  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Benson Hospital Hospital, Benson, AZ, CCN 031301
  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting34
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Carondelet Medical Group, Inc Family Medicine Past Accepting new patients

Locations

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

6567 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 296-2454

1625 N Campbell Ave
Tucson, AZ 85719

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1707 W Saint Marys Rd
Ste 101
Tucson, AZ 85745
Phone (520) 396-1370

6567 E Carondelet Dr
Ste 225
Tucson, AZ 85710
Phone (520) 886-3432

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

1707 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 396-1370

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/
  • Direct secure messaging: sundeep.shenoy.1@600.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650758400000",
    "number": "1730331364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 225",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106154",
            "telephone_number": "520-886-3432",
            "fax_number": "520-886-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 225",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106154",
            "telephone_number": "520-886-3432",
            "fax_number": "520-886-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOY",
        "first_name": "SUNDEEP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "48140",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "48140",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "48140",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "48140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100175260",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201026720",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051440",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.