ANTHONY E SANDOVAL MD
NPI 1811994429
Internal Medicine - Cardiovascular Disease in Flagstaff, AZ

Q: What is Anthony Sandoval's NPI number?

The NPI number for Anthony Sandoval is 1811994429. It was assigned to this individual provider in the NPPES registry on June 29, 2005.

Q: What is Anthony Sandoval's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Sandoval was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 29, 2005PECOS EnrolledAccepts Medicare Assignment

2000 S THOMPSON ST, FLAGSTAFF, AZ 86001(928) 226-6400 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 17, 2026, Jun 17, 2025, Apr 1, 2025 and 4 more (7 updates tracked since 2016).

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About Anthony E Sandoval Md NPPES

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

ANTHONY E SANDOVAL MD (NPI 1811994429) is an individual cardiovascular disease provider in Flagstaff, Arizona, licensed in Arizona (21578) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811994429

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameANTHONY E SANDOVALCredential: MD

Location Address2000 S THOMPSON STFlagstaff, AZ 86001-8759

Mailing Address13460 N 94th Dr Ste J1Peoria, AZ 85381-4264 · (623) 876-8816 · Fax (623) 298-0168

Phone(928) 226-6400

Sole ProprietorYes

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1991

Enumeration DateJune 29, 2005

Last NPPES UpdateApril 17, 20267 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1811994429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in AZ · 21578✔ Licensed in CO · CDR.0005272

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 21578 (AZ)

2000 S THOMPSON ST, Flagstaff, AZ 86001

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Secondary Practice Locations 2

Location 113460 N 94th Dr Ste J1Peoria, AZ 85381-4246 · Phone (623) 876-8816 · Fax (623) 298-0168

Location 21 Mercado St Ste 130Durango, CO 81301-7306 · Phone (970) 247-1120 · Fax (970) 247-1128

Other Identifiers 2

Medicaid198144AZ

OtherP01225076AZ · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and more.Insurance ›

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

Anthony E 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.

PECOS PAC ID1153302138

PECOS Enrollment IDI20230502003331, I20251003004029, I20260223001338

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.

Medicare Billing Reassignments

Medicare enrollment records show Anthony Sandoval reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Joseph A Caplan MD PC

114 mi

Cardiovascular Disease

13460 N 94TH DR STE J1
Peoria, AZ 85381

Reassigned Medicare billing, Arizona enrollment
47 clinicians in this Medicare group

NPI 1649389156 (623) 876-8816

Taos Professional Services, LLC

351 mi

General Practice

1329 GUSDORF RD
Taos, NM 87571

Reassigned Medicare billing, New Mexico enrollment
56 clinicians in this Medicare group

NPI 1235597964 (575) 737-3415

Taos Health Systems Inc Holy Cross

352 mi

Internal Medicine

1398 WEIMER RD
Taos, NM 87571

Reassigned Medicare billing, New Mexico enrollment
Medicare enrollment name: Taos Health Systems Inc Holy Cross Hospital
122 clinicians in this Medicare group

NPI 1639310436 (575) 758-8549

Billings Cinic

654 mi

Family Medicine

236 YELLOWSTONE AVE
West Yellowstone, MT 59758

Reassigned Medicare billing, Montana enrollment
Medicare enrollment name: Billings Clinic
1,264 clinicians in this Medicare group

NPI 1710600119 (406) 238-2500

Northwest Iowa Hospital Corporation

964 mi

Emergency Medical Services

2720 STONE PARK BLVD
Sioux City, IA 51104

Reassigned Medicare billing, Iowa enrollment
281 clinicians in this Medicare group

NPI 1215962550 (712) 279-3789

St Lukes Methodist Hospital

1,176 mi

Obstetrics

4251 RIVER CENTER CT NE
Cedar Rapids, IA 52402

Reassigned Medicare billing, Iowa enrollment
166 clinicians in this Medicare group

NPI 1003017153 (319) 369-7512

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 18

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.

372 services189 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

306 services198 patients

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.

206 services101 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

67 services12 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

62 services62 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

58 services52 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.

53 services52 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

44 services11 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.

38 services38 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

37 services27 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

34 services25 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

33 services33 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

30 services15 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

28 services28 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

18 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

17 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services15 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160045

Location1026 A Ave NECedar Rapids, IA 52402 · Linn County

Emergency services Birthing friendly

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Billings Clinic

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270004

Location2800 10th Ave NBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. SARAH LYNN SALCE DNP

Nurse Practitioner (Acute Care)