Sandeep Mallangouda Patil (NPI# 1912153222, PAC ID# 6305991027) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1912153222 |
| PAC ID by PECOS | 6305991027 |
| Professional Enrollment ID | I20150720002761 |
| Full Name | Sandeep Mallangouda Patil |
| Organization Legal Name | SOUTHWEST KIDNEY INSTITUTE SCOTTSDALE LLC |
| Address |
2149 E Warner Rd Suite 101 Tempe AZ 85284-3495 |
| Phone Number | 4806106100 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 3577798313 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030065 | BANNER DESERT MEDICAL CENTER |
| 030037 | ST LUKE'S MEDICAL CENTER |
| 030036 | CHANDLER REGIONAL MEDICAL CENTER |
| 030087 | HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER |
| 030038 | SCOTTSDALE OSBORN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9305 W Thomas Rd, Suite 255, Phoenix, AZ 85037-3364 | 6232479235 | SOUTHWEST KIDNEY INSTITUTE, PLC |
| 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 | 4806106100 | SOUTHWEST KIDNEY INSTITUTE SCOTTSDALE LLC |
| 6060 N Fountain Plaza Dr, Suite 170, Tucson, AZ 85704-7875 | 5206232642 | SOUTHWEST KIDNEY INSTITUTE, PLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 33% | |
| MIPS_EC_047_overall | Care Plan | 33% | |
| MIPS_EC_047_overall | Care Plan | 33% |
| Organization Legal Name | SOUTHWEST KIDNEY INSTITUTE SCOTTSDALE LLC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bindu Jayavelu | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Mandip S Kang | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Sandip G Patel | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Ankur A Patel | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Melissa M Go | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Gregory G Zobell | Nurse Practitioner | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Randy Cooper | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Richard P Flick | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Yun Chin Chong | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Amir E Gerges | Nephrology | Southwest Kidney Institute Scottsdale LLC | 9746 N 90th Pl, Suite 205, Scottsdale, AZ 85258-5085 |
| Street Address |
2149 E WARNER RD SUITE 101 |
| City | TEMPE |
| State | AZ |
| Zip | 85284-3495 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bindu Jayavelu | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Mandip S Kang | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Sandip G Patel | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Ankur A Patel | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Melissa M Go | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Gregory G Zobell | Nurse Practitioner | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Randy Cooper | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Richard P Flick | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Yun Chin Chong | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Fredrick V Osorio | Nephrology | Southwest Kidney Institute Scottsdale LLC | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3495 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura M Hubbard | Physician Assistant | Tri-city Express Care Pllc | 1804 W Elliot Rd, Tempe, AZ 85284-1004 |
| Bellene E Racowsky | Physician Assistant | Tri-city Express Care Pllc | 1804 W Elliot Rd, Tempe, AZ 85284-1004 |
| Lee Allen Akerson | Physician Assistant | Md Homecare LLC | 1437 W Auto Dr, Tempe, AZ 85284-1016 |
| Nicole Kay Larsen | Nurse Practitioner | Md Homecare LLC | 1437 W Auto Dr, Tempe, AZ 85284-1016 |
| Patrick Charles Mcneil | Physician Assistant | Md Homecare LLC | 1437 W Auto Dr, Tempe, AZ 85284-1016 |
| Shayna Gayle Labarge | Nurse Practitioner | Md Homecare LLC | 1437 W Auto Dr, Tempe, AZ 85284-1016 |
| Maja Everson | Psychiatry | Md Homecare LLC | 1437 W Auto Dr, Tempe, AZ 85284-1016 |
| Deborah Kay Laverty | Nurse Practitioner | Md Homecare LLC | 1437 W Auto Dr, Tempe, AZ 85284-1016 |
| Judith A Abell | Nurse Practitioner | Md Homecare LLC | 1437 W Auto Dr, Tempe, AZ 85284-1016 |
| Eric E Tubat | Nurse Practitioner | Md Homecare LLC | 1437 W Auto Dr, Tempe, AZ 85284-1016 |
| Find all physicians in zip 85284 | |||
| City | TEMPE |
| Zip Code | 85284 |
| Specialty | NEPHROLOGY |
| City + Specialty | TEMPE + NEPHROLOGY |
Please comment or provide details below to improve the information on Sandeep Mallangouda Patil.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.