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DR. SANDHYA VENUGOPAL MD
NPI 1730115338
Internal Medicine in Phoenix, AZ

Active since June 24, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 03D2131646 · Waiver
16601 N 40TH ST STE 229 (OLD 216), PHOENIX, AZ 85032(602) 667-4657(888) 842-7006 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2026, Sep 12, 2025, Oct 4, 2023 and 4 more (7 updates tracked since 2018).

About Dr. Sandhya Venugopal Md NPPES

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

DR. SANDHYA VENUGOPAL MD (NPI 1730115338) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (34956) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 4, 2027, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1730115338
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANDHYA VENUGOPALCredential: MD
Location Address16601 N 40TH ST STE 229 (OLD 216)Phoenix, AZ 85032-3354
Mailing Address3677 E Adobe DrPhoenix, AZ 85050-8333 · (480) 695-3064 · Fax (800) 854-6704
Phone(602) 667-4657
Fax(888) 842-7006
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJune 24, 2006
Last NPPES UpdateMarch 31, 20267 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1730115338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AZ · 34956✔ Licensed in AZ · AZ34956
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 34956 (AZ)
16601 N 40TH ST STE 229 (OLD 216), Phoenix, AZ 85032
Open in Google Maps ↗

Other Identifiers 8

OtherZ203329AZ · Medicare Ptan- Group
OtherZ109127AZ · Medicare-type Unspecified
OtherZ109128AZ · Medicare-type Unspecified
Medicaid074540AZ
OtherAZ0423230AZ · Bcbs
OtherP00341403AZ · Rr Medicare
OtherZ204992AZ · Medicare Ptan- Individual
OtherZ109129AZ · Medicare-type Unspecified

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.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. Sandhya Venugopal 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 ID7113936634
PECOS Enrollment IDI20060411000780
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2131646

Sandhya Venugopal MD LLC Dba Care And Cure Az LLC · Phoenix, AZ
Active · expires Jun 4, 2027
CLIA Number03D2131646
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorSandhya Venugopal
Laboratory Phone(480) 695-3064
Laboratory LocationSandhya Venugopal MD LLC Dba Care And Cure Az LLC16601 N 40th St, Ste 229, Phoenix, AZ 85032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
214 services82 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 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.
18 services13 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
50%32 patients3/55-star benchmark: 85%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
59%220 patients3/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Sandhya Venugopal's NPI number?

The NPI number for Sandhya Venugopal is 1730115338. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Sandhya Venugopal located?

Sandhya Venugopal practices at 16601 N 40th St Ste 229 (old 216), Phoenix, AZ 85032. The listed phone number is (602) 667-4657.

What is Sandhya Venugopal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandhya Venugopal enrolled in Medicare?

Yes. Sandhya Venugopal 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.

Does Sandhya Venugopal hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2131646) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sandhya Venugopal accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Sandhya Venugopal 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 Sandhya Venugopal was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.