Sandeep Mallanagouda Patil, M.D

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

50371 Issued in AZ

Practice address

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676

Phone

(602) 525-5674

NPI assigned

Aug 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nephrology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Rajiv Siddaramu MD PLLCGroup PAC ID 9638480593, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• 032541 Tempe Dialysis (FMC) Dialysis facility, Tempe, AZ, CCN 032541
• Usrc Southwest Mesa Dialysis facility, Mesa, AZ, CCN 032526
• Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
• Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
• Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 28)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2697/brand/1/csg/22/fhir/r4
• Direct secure messaging: sandeep.patil.1@2697.direct.athenahealth.com

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.

• East Valley Kidney Specialist PLLC Health Care

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1619766789
  Medicare reassignment NPD Authorized official
• Rajiv Siddaramu MD PLLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Scottsdale, AZ
  • NPI 1467849422

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1659316008
  Medicare reassignment Care Compare group NPD
• Southwest Kidney Institute Scottsdale LLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1902231012
  Medicare reassignment NPD
• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tucson, AZ
  • NPI 1407094436
  NPD

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

• Renal Care Group Arizona, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tempe, AZ
  • NPI 1942312756

  Dialysis facility

  Care Compare affiliation Name & address match
• Usrc Southwest Mesa, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mesa, AZ
  • NPI 1700506847

  Dialysis facility

  Care Compare affiliation Name & address match
• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810
  Care Compare affiliation
• Dignity Community Care

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1386608859
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1912153222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 S ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867076",
            "telephone_number": "480-290-1822",
            "fax_number": "949-864-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046676",
            "telephone_number": "602-525-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "SANDEEP",
        "middle_name": "MALLANAGOUDA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "50371",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "202074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030611",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathways School and Evaluation Center
• Pathways to Peace LLC
• Patient First Assisting LLC
• Patient Transport LLC
• Patient Transport of Phoenix LLC
• Teresa June Patin
• Patricia Garrett
• Patrick D. Christensen, P.L.L.C.
• Patrick Wayne Stewart
• Christina Marie Patrick, HAD

• Nephrology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.