Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kumaresan Sandrasegaran, MD

Individual provider Diagnostic Radiology Physician · NPI 1407895386

Kumaresan Sandrasegaran, MD is a Diagnostic Radiology in Scottsdale, Arizona. Qualified in 1985, 41 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Indiana.

Years since qualifying
41
Licensed in
AZ, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 N Senate Blvd Rm 1204a, Indianapolis, IN 46202-1239 — (317) 962-6793

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 55670 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01058229A (IN)

Record details

NPI number1407895386
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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