Spark Healing Az PLLC
NPI 1780406983ActiveOrganization· Nurse Practitioner· Sun City West, AZ
Nurse Practitioner in Sun City West, Arizona, registered in NPPES in October 2024. The authorized official on file is Sushil Pandey, MD, Member Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780406983 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2024 |
| Last updated in NPPES | Sep 1, 2025 |
| Certified by provider | Sep 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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