Active NPI
Miguel I Sandoval, M.D.
- Emergency Medicine Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DR.0060555
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RS2013-0525 | NM | MD | Pediatrics Physician |
| BP10042717 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Incorporated | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Specialists, PC | Emergency Medicine | Current | Accepting new patients |
| Children's Hospital Colorado | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of South Carolina LLC | Emergency Medicine | Current | Accepting new patients |
| Caberfae Emergency Group, P.C. | Emergency Medicine | Current | Accepting new patients |
| Epmg of Michigan, P.C. | Emergency Medicine | Current | Accepting new patients |
| Hospitalist Physicians Medical Group of Michigan, PC | Emergency Medicine | Current | Accepting new patients |
| Hospitalist Physicians Medical Group of Michigan, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Specialists, PC | Emergency Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Georgia-TCG, PC | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
- Emergency Medicine Physician
- Aiken, SC
- NPI 1730636168
-
- Emergency Medicine Physician
- Colorado Springs, CO
- NPI 1194708073
-
- Emergency Medicine Physician
- Cadillac, MI
- NPI 1447932504
-
- Emergency Medicine Physician
- Savannah, GA
- NPI 1306325840
-
- Emergency Medicine Physician
- Chelsea, MI
- NPI 1003978867
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Emergency Medicine Physician
- Colorado Springs, CO
- NPI 1114531431
-
dba CU Medicine
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
Emergency Medicine
-
dba CU Sports Medicine Colorado Center
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
-
- Emergency Medicine Physician
- Saint Joseph, MI
- NPI 1407618234
-
dba Center for Development & Disability
- Developmental Disabilities Clinic/Center
- Albuquerque, NM
- NPI 1851614432
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wound Care Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1447437157
-
dba Aiken Regional Medical Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
-
dba Aiken Regional Medical Centers Neuro Physician Services
- Neurological Surgery Physician
- Aiken, SC
- NPI 1942610928
Hospital
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
dba Trinity Heath Ann Arbor Hospital
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.