Individual provider Active NPI

Miguel I Sandoval, M.D.

  • Emergency Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1992061030
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0060555 Issued in CO
Practice address
1400 E Boulder St
Colorado Springs, CO 80909
Phone
(719) 365-5000
Fax
(719) 365-6827
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X BP10042717 TX
Internal Medicine Physician 207R00000X BP10042717 TX
Pediatrics Physician 208000000X RS2013-0525 NM
Emergency Medicine Physician 207P00000X DR.0060555 CO Primary

Addresses

Primary practice location

1400 E Boulder St
Colorado Springs, CO 80909

Mailing address

PO Box 173891
Denver, CO 80217-3891
Phone (303) 306-7783

Other practice location 1

1 University Of New Mexico
Msc10 5590
Albuquerque, NM 87131-0001
Phone (505) 272-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MI, SC, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180905002073 CO Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 9335376557 Reassigns benefits to 1 organization
I20230609002828 MI Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 9335376557 Reassigns benefits to 3 organizations
I20251213000131 SC Practitioner - Emergency Medicine 9335376557 Reassigns benefits to 1 organization
I20260131000598 GA Practitioner - Anesthesiology 9335376557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New Mexico School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Emergency Medicine of South Carolina LLCGroup PAC ID 2163702739, 48 clinicians
Epmg of Michigan PCGroup PAC ID 4789596339, 108 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 553-2200

5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RS2013-0525NMMDPediatrics Physician
BP10042717TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Emergency Medical Specialists, PC Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Children's Hospital Colorado Current Accepting new patients
University Physicians, Incorporated CurrentSince Feb 1, 2020 Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC Emergency Medicine CurrentSince Sep 8, 2025 Accepting new patients
Caberfae Emergency Group, P.C. Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince May 23, 2023 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Emergency Medicine CurrentSince May 23, 2023 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Emergency Medicine CurrentSince May 23, 2023 Accepting new patients
Emergency Medical Specialists, PC Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Georgia-TCG, PC Emergency Medicine CurrentSince Oct 17, 2025 Accepting new patients
Unm Medical Group Inc Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

Dept 1061
Denver, CO 80256

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • Direct secure messaging: msandoval212350@direct.childrenscolorado.org

Organizations & group practices 12

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 5

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1992061030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173891",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173891",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80909",
            "telephone_number": "719-365-5000",
            "fax_number": "719-365-6827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Of New Mexico",
            "address_2": "MSC10 5590",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "MIGUEL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10042717",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10042717",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "RS2013-0525",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0060555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.