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

  1. Home
  2. Nephrology
  3. AZ
  4. Mesa
Sandeep Mallanagouda Patil, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Mesa, Arizona. He graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Southwest Kidney Institute Plc, Rajiv Siddaramu Md Pllc 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 NameSandeep Mallanagouda Patil
GenderMale
SpecialityNephrology
Experience24 Years
Location1910 S Stapley Dr Ste 120, Mesa, Arizona
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1912153222NPI-NPPES
030611MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 202074 (Louisiana)Secondary
207RN0300XInternal Medicine - Nephrology 50371 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Renal Care Group TempeTempe, AZDialysis facility
Us Renal Care Southwest Mesa DialysisMesa, AZDialysis facility
Banner Desert Medical CenterMesa, AZHospital
Chandler Regional Medical CenterChandler, AZHospital
Honorhealth John C. Lincoln Medical CenterPhoenix, AZHospital
Mercy Gilbert Medical CenterGilbert, AZHospital
Honorhealth Scottsdale Shea Medical CenterScottsdale, AZHospital

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 NameSouthwest Kidney Institute PLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659316008
PECOS PAC ID: 8224930987
Enrollment ID: O20040211001069
Entity NameSouthwest Kidney Institute Scottsdale LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902231012
PECOS PAC ID: 3577798313
Enrollment ID: O20131101000457
Entity NameRajiv Siddaramu MD PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467849422
PECOS PAC ID: 9638480593
Enrollment ID: O20150618000815
Entity NameEast Valley Kidney Specialist PLLC Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Accepting Medicare Assignments
Practice Location: 6424 E Broadway Rd Ste 105, Mesa, AZ 85206
Phone: 480-733-7500    
Yury Fomin, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 S Dobson Road, Mesa, AZ 85202
Phone: 480-412-6788    Fax: 480-412-6848
Gregg Alan Smith, D.O.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 1042 N Higley Rd, Suite 102-602, Mesa, AZ 85205
Phone: 480-242-6297    Fax: 480-699-3129
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: 480-856-8252    Fax: 470-268-9921
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.