Maria Analisa Sandoval, M.D.

Emergency Medicine in Madison, WI. Individual provider (NPI-1).

NPI number1902292147

StatusActive

Last updated in NPPESJan 3, 2017

Details

NPI: 1902292147
Entity type: Individual (NPI-1)
Name: Maria Analisa Sandoval
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Apr 14, 2015
Last updated: Jan 3, 2017

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - EMERGENCY MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207P00000X	Emergency Medicine	66628	WI	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

600 Highland Ave
Madison, WI 53792-0001

Phone 505-690-7572

Mailing address

600 Highland Ave
Madison, WI 53792-0001

Is something wrong?

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Other Emergency Medicine Physician providers in Madison, WI

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