Individual provider Active NPI

Sean Sawyer Wentworth, MD

  • Emergency Medicine Physician
  • Tucson, AZ
National Provider Identifier
1134533730
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R74382 Issued in AZ
Practice address
1609 N Warren Ave
Room 118
Tucson, AZ 85724-5057
Phone
(520) 626-6312
Fax
(520) 626-2480
NPI assigned
Jun 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R74382 AZ Primary

Addresses

Primary practice location

1609 N Warren Ave
Room 118
Tucson, AZ 85724-5057

Mailing address

1609 N Warren Ave
Room 118
Tucson, AZ 85724-5057
Phone (520) 626-6312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170731000225 NC Practitioner - Emergency Medicine 4587943501 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yadkin Emergency Physicians PLLCGroup PAC ID 3173875127, 23 clinicians
Jefferson Emergency Services PLLCGroup PAC ID 4880813047, 21 clinicians
The Carolinas Emergency Group, PLLCGroup PAC ID 2567486814, 62 clinicians
Western Carolina Emergency Physicians, PLLCGroup PAC ID 8921171190, 14 clinicians
Murphy Emergency Physicians, PLLCGroup PAC ID 8628328424, 21 clinicians

Practice addresses (Care Compare)

180 Parkwood Dr
Elkin, NC 28621-2430
Phone (336) 527-7000

200 Hospital Ave
Jefferson, NC 28640-9244
Phone (336) 846-7101

2301 US Hwy 74 W
Wadesboro, NC 28170-7554
Phone (704) 694-5131

301 Yadkin St
Albemarle, NC 28001-3441
Phone (704) 984-4000

3990 E US Alt
Murphy, NC 28906-6843
Phone (828) 837-8161

Hospital & facility affiliations

  • Erlanger Murphy Medical Center Hospital, Murphy, NC, CCN 341328
  • Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
  • Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119
  • Hugh Chatham Memorial Hospital Hospital, Elkin, NC, CCN 340097
  • Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
78.32
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R74382AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Sep 10, 2023 Accepting new patients
Yadkin Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 10, 2023 Accepting new patients
Murphy Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 15, 2024 Accepting new patients
Western Carolina Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 10, 2023 Accepting new patients
Jefferson Emergency Services, PLLC Emergency Medicine CurrentSince Sep 10, 2023 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

120 Riverview St
Franklin, NC 28734
Phone (800) 627-5670

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: swentworth437899@direct.unc.nchie.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1134533730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 N WARREN AVE",
            "address_2": "ROOM 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245057",
            "telephone_number": "520-626-6312",
            "fax_number": "520-626-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 N WARREN AVE",
            "address_2": "ROOM 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857245057",
            "telephone_number": "520-626-6312",
            "fax_number": "520-626-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTWORTH",
        "first_name": "SEAN",
        "middle_name": "SAWYER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "R74382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.