Sandeep Mallanagouda Patil, MD in Mesa, AZ

Sandeep Mallanagouda Patil, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Mesa, Arizona. He graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Southwest Kidney Institute Plc and his current practice location is 1910 S Stapley Dr Ste 120, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 525-5674.

Sandeep Mallanagouda Patil is licensed to practice in Arizona (license number 50371) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912153222.

Contact Information

	Sandeep Mallanagouda Patil, MD
	1910 S Stapley Dr Ste 120, Mesa, AZ 85204-6676
	(602) 525-5674
	Not Available

Map and Direction

Physician's Profile

Full Name	Sandeep Mallanagouda Patil
Gender	Male
Speciality	Nephrology
Experience	23 Years
Location	1910 S Stapley Dr Ste 120, Mesa, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sandeep Mallanagouda Patil graduated from medical school in 2002

NPI Data:

NPI Number: 1912153222
Provider Enumeration Date: 08/18/2008
Last Update Date: 11/03/2025

Medicare PECOS Information:

PECOS PAC ID: 6305991027
Enrollment ID: I20150720002761

Medical Identifiers

Medical identifiers for Sandeep Mallanagouda Patil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912153222	NPI	-	NPPES
030611	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	50371 (Arizona)	Primary
207R00000X	Internal Medicine	202074 (Louisiana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Carlos Dialysis (fmc)	Peridot, AZ	Dialysis facility
Globe Dialysis (fmc)	Miami, AZ	Dialysis facility
Tempe Dialysis (fmc)	Tempe, AZ	Dialysis facility
Banner Desert Medical Center	Mesa, AZ	Hospital
Honorhealth Scottsdale Shea Medical Center	Scottsdale, AZ	Hospital
Cobre Valley Regional Medical Center	Globe, AZ	Hospital
Scottsdale Osborn Medical Center	Scottsdale, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Kidney Institute Plc	8224930987	93

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sandeep Mallanagouda Patil allows following entities to bill medicare on his behalf.

Entity Name	Southwest Kidney Institute Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659316008 PECOS PAC ID: 8224930987 Enrollment ID: O20040211001069

Entity Name	Southwest Kidney Institute Scottsdale Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902231012 PECOS PAC ID: 3577798313 Enrollment ID: O20131101000457

Entity Name	Rajiv Siddaramu Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467849422 PECOS PAC ID: 9638480593 Enrollment ID: O20150618000815

Entity Name	East Valley Kidney Specialist Pllc Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619766789 PECOS PAC ID: 3870003288 Enrollment ID: O20250605002968

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandeep Mallanagouda Patil is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sandeep Mallanagouda Patil, MD 2040 S Alma School Rd Ste 1, Chandler, AZ 85286-7076 Ph: (480) 290-1822	Sandeep Mallanagouda Patil, MD 1910 S Stapley Dr Ste 120, Mesa, AZ 85204-6676 Ph: (602) 525-5674

Reviews and Comments

Internal Medicine Doctors in Mesa, AZ

Ankur Panchal, Nephrology Medicare: May Accept Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 105, Mesa, AZ 85206 Phone: 480-733-7500
Yury Fomin, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 1400 S Dobson Road, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848
Dr. Emmanuel A Bayongan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-543-2034 Fax: 480-512-6089
Dr. Sanjeev Gopal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd, 104-105, Mesa, AZ 85206 Phone: 602-802-8700 Fax: 602-802-8799
Dr. Alpesh Patel, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave Ste 205, Mesa, AZ 85209 Phone: 480-701-7687
Mouhsen H Alhakeem, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Road, Attn Amanda Gump/hospitalist, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848
Dr. Bindu Jayavelu, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 301 S Power Rd Ste 103, Mesa, AZ 85206 Phone: 480-325-7535 Fax: 480-325-7462

Sandeep Mallanagouda Patil, MD - Medicare Nephrology in Mesa, AZ