PHILLIP SANDOVAL MD
NPI 1427123033
Internal Medicine in Albuquerque, NM
About Phillip Sandoval Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP SANDOVAL MD (NPI 1427123033) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (97359) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of University Of New Mexico School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Phillip Sandoval 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.
Medicare Billing Reassignment
Medicare enrollment records show Phillip Sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,105 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unm Hospital
Acute Care Hospitals · Albuquerque, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
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 Phillip Sandoval's NPI number?
The NPI number for Phillip Sandoval is 1427123033. It was assigned to this individual provider in the NPPES registry on November 21, 2006.
Where is Phillip Sandoval located?
Phillip Sandoval practices at 4901 Lang Ave NE, Albuquerque, NM 87109. The listed phone number is (505) 842-8171.
What is Phillip Sandoval's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Phillip Sandoval enrolled in Medicare?
Yes. Phillip Sandoval 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.
Which organization bills Medicare for Phillip Sandoval's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Sandoval reassigns Medicare benefits to Unm Medical Group Inc (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Phillip Sandoval affiliated with any hospitals?
According to CMS data, Phillip Sandoval is affiliated with Unm Hospital.
When was this NPI record last updated?
The NPPES record for Phillip Sandoval was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Phillip Sandoval, MD · NPI 1427123033
Internal Medicine physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since November 21, 2006.
## Identity
- **NPI:** 1427123033 (Entity type: Individual)
- **Enumerated:** November 21, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 97359 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 4901 LANG AVE NE, Albuquerque, NM 87109-4495
- **Phone:** (505) 842-8171 · **Fax:** (505) 246-0684
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Unm Medical Group Inc (NPI 1831218627, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New Mexico School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** January 22, 2026
- **Other identifiers:** Medicaid 55379 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1427123033) · Data from the CMS NPPES public registry.