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DR. SEAN I SANCHEZ MD
NPI 1225207186
Internal Medicine - Nephrology in Spokane, WA

Active since February 25, 2008PECOS EnrolledAccepts Medicare Assignment
605 E HOLLAND AVE, SUITE 200, SPOKANE, WA 99218(509) 838-2531(509) 755-6580 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sean I Sanchez Md NPPES

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

DR. SEAN I SANCHEZ MD (NPI 1225207186) is an individual nephrology provider in Spokane, Washington, licensed in Washington (BC60236553) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Deaconess Medical Center, and is a graduate of University Of Michigan Medical School (2004).

NPPES Registry Identity

NPI1225207186
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SEAN I SANCHEZCredential: MD
Location Address605 E HOLLAND AVE, SUITE 200Spokane, WA 99218-2225
Mailing AddressPo Box 3649Spokane, WA 99220-3649 · (509) 838-2531 · Fax (509) 755-6580
Phone(509) 838-2531
Fax(509) 755-6580
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2004
Enumeration DateFebruary 25, 2008
Last NPPES UpdateApril 11, 2017
✔ NPI 1225207186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in WA · BC60236553✔ Licensed in GA · 059959
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 059959 (GA), BC60236553 (WA)
605 E HOLLAND AVE, Spokane, WA 99218
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Other Identifiers 1

Medicare PING8902465WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Sean I Sanchez Md 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 ID2860533759
PECOS Enrollment IDI20110901000781
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
293 services184 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
168 services68 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
124 services17 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
69 services34 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
66 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Deaconess Medical Center

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500044
LocationW 800 Fifth AvenueSpokane, WA 99210 · Spokane County
Emergency services Birthing friendly

Multicare Valley Hospital

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500119
Location12606 East Mission AvenueSpokane, WA 99216 · Spokane County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Providence St Joseph Hospital

Critical Access Hospitals · Chewelah, WA
OwnershipVoluntary non-profit - Church
CMS Certification Number501309
Location500 East WebsterChewelah, WA 99109 · Stevens County
Emergency services

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501326
Location982 East ColumbiaColville, WA 99114 · Stevens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers17 claims1,320 services$1.23 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers38 claims4,930 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers29 claims3,770 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims2,560 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers49 claims49 services$17.80 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers61 claims71 services$12.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KARLA K RIOLLANO D.C.
Chiropractor
605 E HOLLAND AVE, SUITE 200
SPOKANE, WA 99218
Spokane County (509) 465-8400
CHRIS L CHAFFIN DDS
Dentist
605 E HOLLAND AVE, STE 214
SPOKANE, WA 99218
Spokane County (506) 467-6128
MRS. CHANEL R HOFFMAN PTA
Physical Therapy Assistant
605 E HOLLAND AVE, SUITE 112
SPOKANE, WA 99218
Spokane County (509) 755-5480
DEAN C GRAY O.D.
Optometrist
605 E HOLLAND AVE, SUITE 200
SPOKANE, WA 99218
Spokane County (509) 838-2531
MR. CARL FRANK GREENBERG M.S.
Marriage & Family Therapist
605 E HOLLAND AVE, SUITE 100
SPOKANE, WA 99218
Spokane County (509) 228-1400
JOHN L MUSA MD
Internal Medicine (Nephrology)
605 E HOLLAND AVE, SUITE 200
SPOKANE, WA 99218
Spokane County (509) 838-2531
MARY KUNKEL
Massage Therapist
605 E HOLLAND AVE, STE 114
SPOKANE, WA 99218
Spokane County (509) 340-1000
MARK E DIDIER MD
Family Medicine
605 E HOLLAND AVE, SUITE 200
SPOKANE, WA 99218
Spokane County (509) 838-2531

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 Sean Sanchez's NPI number?

The NPI number for Sean Sanchez is 1225207186. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Where is Sean Sanchez located?

Sean Sanchez practices at 605 E Holland Ave Suite 200, Spokane, WA 99218. The listed phone number is (509) 838-2531.

What is Sean Sanchez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sean Sanchez enrolled in Medicare?

Yes. Sean Sanchez 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 Sean Sanchez accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sean Sanchez 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.

Is Sean Sanchez affiliated with any hospitals?

According to CMS data, Sean Sanchez is affiliated with Deaconess Medical Center, Multicare Valley Hospital, Tacoma General Allenmore Hospital, Providence St Joseph Hospital and Providence Mount Carmel Hospital.

When was this NPI record last updated?

The NPPES record for Sean Sanchez was last updated on April 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.