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SAGAR SUDAN M.D.
NPI 1205678455
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since June 10, 2024PECOS Enrolled
350 W THOMAS RD, PHOENIX, AZ 85013(602) 406-3000 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2024, Jun 10, 2024 (2 updates tracked since 2024).

About Sagar Sudan M.d. NPPES

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

SAGAR SUDAN M.D. (NPI 1205678455) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205678455
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAGAR SUDANCredential: M.D.
Location Address350 W THOMAS RDPhoenix, AZ 85013
Mailing Address3100 N. Central AvenuePhoenix, AZ 85012 · (602) 812-4312
Phone(602) 406-3000
Sole ProprietorNo
Enumeration DateJune 10, 2024
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
✔ NPI 1205678455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
350 W THOMAS RD, Phoenix, AZ 85013
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sagar Sudan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. JASPREET SIAN M.D.
Student in an Organized Health Care Education/Training Program
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 406-3540
BRANDON ROBERT MAY
Psychiatry & Neurology (Vascular Neurology)
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 406-6262
DR. JACOB WESLEY SANDERS
Student in an Organized Health Care Education/Training Program
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 406-6262
SANFORD ORNSTEIN M.D.
Radiology (Diagnostic Radiology)
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 406-3430
LINDLEY T BLISS MD
Hospitalist
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 615-5672
DR. TILINA N. HU MD
Radiology (Diagnostic Radiology)
350 W THOMAS RD, RADIOLOGY DEPARTMENT
PHOENIX, AZ 85013
Maricopa County (602) 406-3430
JASON AARON BESTE M.D.
Hospitalist
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 406-5590
JOEL JAMES HAYDEN MD
Radiology (Diagnostic Radiology)
350 W THOMAS RD
PHOENIX, AZ 85013
Maricopa County (602) 406-3430

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 Sagar Sudan's NPI number?

The NPI number for Sagar Sudan is 1205678455. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Sagar Sudan located?

Sagar Sudan practices at 350 W Thomas Rd, Phoenix, AZ 85013. The listed phone number is (602) 406-3000.

What is Sagar Sudan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sagar Sudan enrolled in Medicare?

Yes. Sagar Sudan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sagar Sudan was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.