Spark Healing Az PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SPARK HEALING AZ PLLC

Practice address

14506 W Granite Valley Dr Ste 225
Sun City West, AZ 85375-6013

Phone

(888) 616-5912

Fax

(888) 616-5913

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Sushil Pandey, MDNPI 1568788099

Title

Member Manager

Phone

(347) 239-6581

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sushil Raj Pandey, MD

  • Colon & Rectal Surgery Physician
  • Surprise, AZ
  • NPI 1568788099
  Medicare reassignment NPD Authorized official
• Raghad Batarseh, NP

  • Primary Care Nurse Practitioner
  • Sun City West, AZ
  • NPI 1710794599
  Medicare reassignment NPD
• Pei Hsin Hsu, FNP

  • Family Nurse Practitioner
  • Lancaster, CA
  • NPI 1831909068

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1780406983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR STE 225",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756013",
            "telephone_number": "888-616-5912",
            "fax_number": "888-616-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR STE 225",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756013",
            "telephone_number": "888-616-5912",
            "fax_number": "888-616-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK HEALING AZ PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "PANDEY",
        "authorized_official_first_name": "SUSHIL",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "347-239-6581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathleen Soper, PT
• Southwest Foot Institute Inc
• Southwestern Eye Center, LTD
• Ridge Glen Spackman, CRNA
• Tyler Kenneth Spangler, AS
• Brett L Sperry, D.M.D.
• Shenita T. Staggers, D.C.
• Maya Sera Stamm, MD
• Antoine E. Stanford, MBA HCM, HAD
• Stephen J Durant MD PLC

• Nurse Practitioner in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.