Individual provider Active NPI

Sandeep Rao, MD, MBA

  • Vascular & Interventional Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1992905095
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
51872 Issued in AZ
Practice address
6036 N 19TH Ave Ste 204
Phoenix, AZ 85015-2104
Phone
(480) 616-0356
Fax
(480) 616-0603
NPI assigned
Jul 18, 2007
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD2014-0823 NM
Diagnostic Radiology Physician 2085R0202X N6601 TX
Diagnostic Radiology Physician 2085R0202X 51872 AZ
Vascular & Interventional Radiology Physician 2085R0204X N6601 TX
Vascular & Interventional Radiology Physician 2085R0204X MD2014-0823 NM
Vascular & Interventional Radiology Physician 2085R0204X 51872 AZ Primary

Addresses

Primary practice location

6036 N 19TH Ave Ste 204
Phoenix, AZ 85015-2104

Mailing address

PO Box 29650
Dept# 8800391
Phoenix, AZ 85038
Phone (855) 381-9178

Other practice location 1

4915 E Baseline Rd Ste 104
Gilbert, AZ 85234-2966
Phone (480) 616-0356

Other practice location 2

1919 S Shiloh Rd Ste 400
Garland, TX 75042-8211
Phone (469) 320-1267

Other practice location 3

21001 N Tatum Blvd Ste 78-1640
Phoenix, AZ 85050-5244
Phone (480) 307-8258

Other identifiers 1

IdentifierTypeStateIssuer
8DG725OtherTXBCBS TX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, AZ, CO4 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
I20120716000512 TX Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1759554991 Reassigns benefits to 9 organizations
I20150605002028 NM Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1759554991 Reassigns benefits to 6 organizations
I20170418002024 AZ Practitioner - Diagnostic Radiology 1759554991 Reassigns benefits to 2 organizations
I20260312003477 CO Practitioner - Interventional Radiology 1759554991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Southwestern Cardiac Arrhythmia Institute PAGroup PAC ID 0648570416, 2 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Colorado Pain Practice PLLCGroup PAC ID 6709161292, 15 clinicians
Arizona Health Services PLLCGroup PAC ID 5193941144, 5 clinicians
Freedom Health Interventional Centers LLCGroup PAC ID 8325309347, 9 clinicians
Naveen Kella MD PAGroup PAC ID 0840506283, 3 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

1250 N Sonoma Ranch Blvd
Suite 100
Las Cruces, NM 88011-1623
Phone (915) 313-4949

160 S Roadrunner Pkwy
Memorial Imaging Center of Las Cruces
Las Cruces, NM 88011-7044
Phone (505) 225-8476

1625 Medical Ctr Dr
El Paso, TX 79902-5005
Phone (281) 870-4592

1804 Tin Star St
El Paso, TX 79911-3108
Phone (855) 504-4544

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 877-8136

2001 N Oregon St
El Paso, TX 79902-3320
Phone (855) 504-4544

2696 S Colorado Blvd
Suite 240
Denver, CO 80222-5948
Phone (303) 468-7246

2735 Northrise Dr
Memorial Healthplex
Las Cruces, NM 88011-0897
Phone (505) 225-8476

3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone (915) 832-2000

3640 Joe Battle Blvd
Suite 100
El Paso, TX 79938-2628
Phone (915) 313-4949

4040 E Camelback Rd
Suite 155a
Phoenix, AZ 85018-8349
Phone (602) 806-7575

5133 N Central Ave
Suite 100
Phoenix, AZ 85012-1438
Phone (480) 616-0356

603 E Amber St
Suite 101
San Antonio, TX 78221-2456
Phone (210) 660-5040

6036 N 19TH Ave
Suite 204
Phoenix, AZ 85015-2104
Phone (480) 717-0356

6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544

9618 Huebner Rd
Suite 120
San Antonio, TX 78240-1775
Phone (210) 617-3670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51872AZMDDiagnostic Radiology Physician
N6601TXMDDiagnostic Radiology Physician
MD2014-0823NMMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Pdi Toledo, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Las Cruces Physician Services LLC Diagnostic Radiology CurrentSince Apr 30, 2024 Accepting new patients
Pdi Toledo, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Houston Premier Radiology Center Inc. CurrentSince Jan 1, 2022 Accepting new patients
Vascular Institute Texas, PLLC CurrentSince Oct 1, 2022 Accepting new patients
ASC of the Heart Institute CurrentSince Apr 15, 2024 Accepting new patients
Arizona Health Services PLLC CurrentSince Oct 1, 2025 Accepting new patients
Arista Imaging, LLC CurrentSince Aug 28, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Sep 17, 2018 Accepting new patients
Pdi Toledo, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Colorado Pain Practice, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Sep 17, 2018 Accepting new patients
Advanced Imaging LLC Diagnostic Radiology CurrentSince Jan 30, 2019 Accepting new patients
Colorado Pain Practice, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Gulf Coast MRI & Diagnostics, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Oct 21, 2019 Accepting new patients
Naveen Kella MD PA CurrentSince Dec 20, 2025 Accepting new patients
Arizona Health Services PLLC CurrentSince Oct 1, 2025 Accepting new patients
Southwestern Cardiac Arrhythmia Institute, PA CurrentSince May 10, 2024 Accepting new patients
Radiology Associates of Albuquerque, PA Diagnostic Radiology CurrentSince Jan 30, 2019 Accepting new patients
Gebito Medical PastSince Apr 9, 2024 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Familycare Associates,PA Past Accepting new patients
Advanced Imaging LLC Past Accepting new patients
Pco PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 35)

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

1345 E McKellips Rd
Ste 103
Mesa, AZ 85203
Phone (480) 644-9878

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

2222 W Pinnacle Peak Rd
Ste 260
Phoenix, AZ 85027

4040 E Camelback Rd
Ste 155A
Phoenix, AZ 85018
Phone (602) 806-7575

1355 S Colorado Blvd
Ste 700
Denver, CO 80222
Phone (303) 277-0700

2696 S Colorado Blvd
Ste 240
Denver, CO 80222
Phone (210) 213-4444

12596 W Bayaud Ave
Ste 350
Lakewood, CO 80228
Phone (303) 468-7246

2400 Unser Blvd SE
Ste 29200
Albuquerque, NM 87124

4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800

502 Elm St NE
Albuquerque, NM 87102

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

1250 N Sonoma Ranch Blvd
Las Cruces, NM 88011
Phone (575) 323-3010

1250 N Sonoma Ranch Blvd
Ste 100
Las Cruces, NM 88011
Phone (915) 313-4949

3443 Medina Rd
Ste 103
Medina, OH 44256
Phone (330) 723-6600

19250 Bagley Rd
Ste 202
Middleburg Heights, OH 44130
Phone (216) 688-8000

3830 Woodley Rd
Ste A
Toledo, OH 43606
Phone (419) 517-0500

1305 Airport Fwy
Ste 103
Bedford, TX 76021
Phone (682) 647-6500

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3640 Joe Battle Blvd
Ste 100
El Paso, TX 79938
Phone (210) 660-5040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12546/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sandeep.rao.1@12546.direct.athenahealth.com

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 6

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1992905095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29650",
            "address_2": "DEPT# 8800391",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85038",
            "telephone_number": "855-381-9178",
            "fax_number": "913-234-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152104",
            "telephone_number": "480-616-0356",
            "fax_number": "480-616-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 E Baseline Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342966",
            "country_code": "US",
            "telephone_number": "480-616-0356",
            "fax_number": "480-616-0603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 S Shiloh Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750428211",
            "country_code": "US",
            "telephone_number": "469-320-1267",
            "fax_number": "945-242-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21001 N Tatum Blvd Ste 78-1640",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850505244",
            "country_code": "US",
            "telephone_number": "480-307-8258",
            "fax_number": "480-454-8236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "SANDEEP",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2014-0823",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N6601",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "51872",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "N6601",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NM",
            "license": "MD2014-0823",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "51872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8DG725",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.