Individual provider Active NPI

Sean Oregan, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1164486460
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19829 Issued in AZ
Practice address
6859 E Rembrandt Ave
Suite 117
Mesa, AZ 85212-3628
Phone
(480) 632-1577
Fax
(480) 632-1574
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19829 AZ Primary

Addresses

Primary practice location

6859 E Rembrandt Ave
Suite 117
Mesa, AZ 85212-3628

Mailing address

6859 E. Rembrandt Ave
Suite 117
Mes, AZ 85212-3630
Phone (480) 632-1577

Other identifiers 1

IdentifierTypeStateIssuer
411661MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19829AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Digestive Health, PC PastSince Feb 1, 2009 Accepting new patients
Advanced Cardiac Specialists, Chartered Past Accepting new patients
Southwest Kidney Institute, PLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1164486460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6859 E. REMBRANDT AVE",
            "address_2": "SUITE 117",
            "city": "MES",
            "state": "AZ",
            "postal_code": "852123630",
            "telephone_number": "480-632-1577",
            "fax_number": "480-632-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 E REMBRANDT AVE",
            "address_2": "SUITE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123628",
            "telephone_number": "480-632-1577",
            "fax_number": "480-632-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREGAN",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "19829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411661",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.