MAMADOU L SANOGO (MD) – Vascular & Interventional Radiology Physician, NPI 1275684300

MAMADOU L SANOGO (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 4301111862 (MI). The NPI Number for MAMADOU L SANOGO (MD) is 1275684300

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MAMADOU L SANOGO (MD)
NPI
1275684300
Phone
(734) 936-5850
Address
1500 E Medical Center Dr
Enumeration Date
16 January 2007
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
0345511630
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20170804000934
Address ID
MI481059484AN24XXXDRXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:19State licenses:2Digital endpointsOther names

219 INTERVENTIONAL RADIOLOGY in MI

Provider Addresses for MAMADOU L SANOGO (MD)

  • 1500 E Medical Center Dr

    2nd floor Taubman Center Recp A

    Ann Arbor, MI 481095326

    Phone: (734) 936-5850

    Type: Location

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170804000934IInterventional RadiologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes7262$0
76937Ultrasonic guidance for blood vessel access2719$0
36247Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch1711$0
50435Replacement of kidney drainage tube using imaging guidance with review by radiologist1715$0
75726Review by radiologist of abdominal artery image1411$0
View full utilization report →

Insurance plans in this area (ZIP 48109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What identifier follows MAMADOU L SANOGO (MD) across health systems?
The NPI 1275684300 uniquely identifies MAMADOU L SANOGO (MD) in U.S. healthcare data.
Does the public listing show MAMADOU L SANOGO (MD) as active?
MAMADOU L SANOGO (MD)'s NPI record reflects an active status in NPPES.
What does the directory say MAMADOU L SANOGO (MD) does?
Insurance directories may phrase it differently, but here MAMADOU L SANOGO (MD) maps to Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Is MAMADOU L SANOGO (MD) tied to Ann Arbor, Michigan?
If you are local to Ann Arbor, Michigan, MAMADOU L SANOGO (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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