Sandeep Rao, MD, MBA
Individual provider Active NPI Vascular & Interventional Radiology Physician · Phoenix, AZ
NPI 1992905095 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1992905095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- 51872 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 31
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Interventional 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 PA
Southwestern Cardiac Arrhythmia Institute PA
Imaging Associates of New Mexico LLC
Colorado Pain Practice PLLC
Arizona Health Services PLLC
Freedom Health Interventional Centers LLC
Naveen Kella MD PA
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
- Sierra Medical Center
- Memorial Medical Center
- The Hospitals of Providence - East Campus
- The Hospitals of Providence Transmountain Campus
- The Hospitals of Providence - Memorial Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 16 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TX, NM, AZ, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120716000512 | TX | Practitioner - Interventional Radiology |
1759554991 | Reassigns benefits to 9 organizations |
| I20150605002028 | NM | Practitioner - Interventional 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51872 | AZ | MD | Diagnostic Radiology Physician |
| MD2014-0823 | NM | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Cruces Physician Services LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Pdi Toledo, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Southwestern Cardiac Arrhythmia Institute, PA | Current |
Accepting new patients | |
| Naveen Kella MD PA | Current |
Accepting new patients | |
| Arizona Health Services PLLC | Current |
Accepting new patients | |
| Colorado Pain Practice, PLLC | Current |
Accepting new patients | |
| Sonoran Radiology LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Gulf Coast MRI & Diagnostics, Inc. | Current |
Accepting new patients | |
| Vascular Institute Texas, PLLC | Current |
Accepting new patients | |
| Radiology Associates of Albuquerque, PA | Diagnostic Radiology | Current |
Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current |
Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current |
Accepting new patients |
| Arizona Health Services PLLC | Current |
Accepting new patients | |
| Pdi Toledo, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current |
Accepting new patients |
| ASC of the Heart Institute | Current |
Accepting new patients | |
| Pdi Toledo, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Advanced Imaging LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Arista Imaging, LLC | Current |
Accepting new patients | |
| Houston Premier Radiology Center Inc. | Current |
Accepting new patients | |
| Colorado Pain Practice, PLLC | Current |
Accepting new patients | |
| Pco PC | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Imaging LLC | Past | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients | |
| Gebito Medical | Past |
Accepting new patients | |
| Familycare Associates,PA | Past | Accepting new patients |
Locations (25 of 34)
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
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
4040 E Camelback Rd
Ste 155A
Phoenix, AZ 85018
Phone (602) 806-7575
2222 W Pinnacle Peak Rd
Ste 260
Phoenix, AZ 85027
2696 S Colorado Blvd
Ste 240
Denver, CO 80222
Phone (210) 213-4444
1355 S Colorado Blvd
Ste 700
Denver, CO 80222
Phone (303) 277-0700
12596 W Bayaud Ave
Ste 350
Lakewood, CO 80228
Phone (303) 468-7246
4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800
502 Elm St NE
Albuquerque, NM 87102
1250 N Sonoma Ranch Blvd
Ste 100
Las Cruces, NM 88011
Phone (915) 313-4949
1250 N Sonoma Ranch Blvd
Las Cruces, NM 88011
Phone (575) 323-3010
1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205
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
3640 Joe Battle Blvd
Ste 100
El Paso, TX 79938
Phone (210) 660-5040
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
923 College Ave
Ste 101
Fort Worth, TX 76104
Phone (817) 697-4038
Interoperability endpoints
- sandeep.rao.1@12546.direct.athenahealth.com
- https://api.platform.athenahealth.com/12546/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8DG725 | Other | TX | BCBS TX |
NPI Registry JSON
{
"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
- Deepthi Reddy Rao
- Geetha Rao
- Maya Rao
- Pallavi Rao
- Ritika Rao
- Shashikala Rao
- Suma P Rao
- Walter John Rapacz
- Rapha Healthcare Inc
- Rapid Care at Home PLLC
All providers in Phoenix, AZ · Vascular & Interventional Radiology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.