MR. JODY LEE SANDERSON PA-C
NPI 1164490579
Physician Assistant - Medical in Phoenix, AZ

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
1111 E MCDOWELL RD, PHOENIX, AZ 85006(602) 839-6968(602) 839-4144 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jody Lee Sanderson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JODY LEE SANDERSON PA-C (NPI 1164490579) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (2580) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1164490579
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JODY LEE SANDERSONCredential: PA-C
Location Address1111 E MCDOWELL RDPhoenix, AZ 85006-2612
Mailing AddressPo Box 15070Scottsdale, AZ 85267-5070 · (480) 421-9700 · Fax (480) 421-9899
Fax(602) 839-4144
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 10, 2006
Last NPPES UpdateJuly 29, 2014
NPI 1164490579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 2580
1111 E MCDOWELL RD, Phoenix, AZ 85006

Other Identifiers 2

Medicaid649692AZ
Medicare UPINP60441AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jody Lee Sanderson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678527819
PECOS Enrollment IDI20101201001337
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,873 services42 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
3,448 services37 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
1,214 services1,214 patients
Dxa bone density measurement of forearm, finger, hand, or foot 77081
A DXA bone density measurement of the forearm, finger, hand, or foot is a non-invasive procedure that uses X-rays to measure the amount of calcium and other minerals in your bones. This test helps to assess the strength of your bones and your risk of fractures.
178 services178 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
13 services13 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Internal Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Psychiatry & Neurology (Neurology)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant (Medical)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Nurse Practitioner (Acute Care)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Pharmacist
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN MEDICAL CENTER PHARMACY
PHOENIX, AZ 85006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Sanderson's NPI number?

The NPI number for Jody Sanderson is 1164490579. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Jody Sanderson located?

Jody Sanderson practices at 1111 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (602) 839-6968.

What is Jody Sanderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jody Sanderson enrolled in Medicare?

Yes. Jody Sanderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jody Sanderson accept?

Health plans from Blue Cross Blue Shield of Arizona list Jody Sanderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jody Sanderson was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.