Phillip Sandoval, MD
NPI 1427123033 · Internal Medicine Physician · Albuquerque, NM
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillip Sandoval, MD is a Internal Medicine Physician provider in Albuquerque, NM (NPI 1427123033).
Provider details
- NPI number
- 1427123033
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 97359 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
309 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 216 | $96 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 61 | $143 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 32 | $65 |
Typical Medicare-allowed amounts for these services range $65–$143 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 68 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 159 | 23 |
| Levothyroxine Sodium | 148 | 38 |
| Amlodipine Besylate | 117 | 32 |
| Gabapentin | 111 | 24 |
| Tramadol Hcl | 93 | 20 |
| Omeprazole | 75 | 20 |
| Lisinopril | 75 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Frequently asked questions
- What is Phillip Sandoval's NPI number?
- Phillip Sandoval's National Provider Identifier (NPI) is 1427123033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Sandoval's specialty?
- Phillip Sandoval is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Phillip Sandoval located?
- Phillip Sandoval's practice location on file with NPPES is 4901 Lang Ave Ne, Albuquerque, NM 87109-4495.
- What is Phillip Sandoval's phone number?
- The practice phone number listed in the NPPES registry for Phillip Sandoval is (505) 842-8171.
- Does Phillip Sandoval accept Medicare?
- Phillip Sandoval is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phillip Sandoval's NPI active?
- Yes — Phillip Sandoval's NPI (1427123033) is active in the NPPES registry as of the last update on 2026-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.