Individual provider Active NPI

Sapna Amin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
National Provider Identifier
1891930582
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
52814 Issued in AZ
Practice address
424 S 56TH St Ste 120
Phoenix, AZ 85034-2177
Phone
(602) 685-5211
Fax
(602) 685-5325
NPI assigned
Dec 9, 2008
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 52814 AZ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 52814 AZ Primary

Addresses

Primary practice location

424 S 56TH St Ste 120
Phoenix, AZ 85034-2177

Mailing address

PO Box 42210
Phoenix, AZ 85080-2210
Phone (623) 266-7770

Other practice location 1

424 S 56th St Ste 110
Phoenix, AZ 85034-2177
Phone (602) 685-5211

Other identifiers 1

IdentifierTypeStateIssuer
278377MedicaidAZ

Other names 1

  • Sapna Vinod Modi 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
I20170208002293 AZ Practitioner - PathologyPractitioner - Other (Physician) 3577846930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Virginia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Specialist of Arizona, LLPGroup PAC ID 4789583188, 69 clinicians
Clin-Path PathologyGroup PAC ID 5193717866, 30 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 685-5211

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (602) 685-5211

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (602) 685-5211

1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (602) 685-5166

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone (602) 685-5166

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 685-5211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Specialist of Arizona, LLP Anatomic Pathology & Clinical Pathology CurrentSince Dec 4, 2016 Accepting new patients
Clin-Path Pathology Anatomic Pathology & Clinical Pathology CurrentSince Apr 26, 2017 Accepting new patients
Sonoran Radiology LTD PastSince Aug 9, 2020 Accepting new patients
Donsky Bogle Dermatology LLC PastSince Jan 1, 2009 Accepting new patients

Locations

1150 N Country Club Dr
Ste 6
Mesa, AZ 85201
Phone (480) 854-0282

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

424 S 56th St
Ste 110
Phoenix, AZ 85034
Phone (480) 478-8057

424 S 56th St
Ste 120
Phoenix, AZ 85034
Phone (480) 478-8059

4313 E Cotton Center Blvd
Ste 120
Phoenix, AZ 85040
Phone (312) 721-3526

1255 W Washington St
Tempe, AZ 85288
Phone 602685521145166

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1891930582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850802210",
            "telephone_number": "623-266-7770",
            "fax_number": "623-322-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S 56TH ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342177",
            "telephone_number": "602-685-5211",
            "fax_number": "602-685-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 S 56th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850342177",
            "country_code": "US",
            "telephone_number": "602-685-5211",
            "fax_number": "602-685-5325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "SAPNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AZ",
            "license": "52814",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "52814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278377",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAPNA",
            "last_name": "MODI",
            "middle_name": "VINOD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.