Active NPI
Sandeep Rao, MD, MBA
- Vascular & Interventional Radiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 51872
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8DG725 | Other | TX | BCBS TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM, AZ, CO
- 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
- 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
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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51872 | AZ | MD | Diagnostic Radiology Physician |
| N6601 | TX | MD | Diagnostic Radiology Physician |
| MD2014-0823 | NM | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Pdi Toledo, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Las Cruces Physician Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Pdi Toledo, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Houston Premier Radiology Center Inc. | Current | Accepting new patients | |
| Vascular Institute Texas, PLLC | Current | Accepting new patients | |
| ASC of the Heart Institute | Current | Accepting new patients | |
| Arizona Health Services PLLC | Current | Accepting new patients | |
| Arista Imaging, LLC | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Pdi Toledo, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Colorado Pain Practice, PLLC | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Colorado Pain Practice, PLLC | Current | Accepting new patients | |
| Gulf Coast MRI & Diagnostics, Inc. | Current | Accepting new patients | |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current | Accepting new patients |
| Naveen Kella MD PA | Current | Accepting new patients | |
| Arizona Health Services PLLC | Current | Accepting new patients | |
| Southwestern Cardiac Arrhythmia Institute, PA | Current | Accepting new patients | |
| Radiology Associates of Albuquerque, PA | Diagnostic Radiology | Current | Accepting new patients |
| Gebito Medical | Past | 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
- https://api.platform.athenahealth.com/12546/brand/1/csg/1/fhir/r4
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
- NPI 1659796985
-
- Pain Medicine (Anesthesiology) Physician
- Lakewood, CO
- NPI 1508285776
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1629592464
TX
-
- Specialist
- San Antonio, TX
- NPI 1659779155
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Cardiovascular Disease Physician
- El Paso, TX
- NPI 1871964767
NM
-
- Specialist
- Garland, TX
- NPI 1326787524
-
dba True Precision Medical
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508364860
-
- Vascular & Interventional Radiology Physician
- San Antonio, TX
- NPI 1194340539
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology, TX
-
dba High Resolution
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1558416974
-
- Ambulatory Surgical Clinic/Center
- Las Cruces, NM
- NPI 1356954648
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Medical Center of Las Cruces
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
dba The Hospitals of Providence Sierra Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1215969787
-
dba The Hospitals of Providence Transmountain Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1538522412
-
dba The Hospitals of Providence Memorial Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1700801909
-
dba The Hospitals of Providence Sierra Campus
- Rehabilitation Hospital Unit
- El Paso, TX
- NPI 1780927277
-
dba The Hospitals of Providence East Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1972709970
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.