Individual provider Active NPI

Sara B Elmahdi

  • Non-emergency Medical Transport (VAN)
  • Phoenix, AZ
National Provider Identifier
1194471417
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
3848 N 3Rd Ave Unit 1011
Phoenix, AZ 85013-3454
Phone
(602) 561-8104
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3848 N 3Rd Ave Unit 1011
Phoenix, AZ 85013-3454

Mailing address

3848 N 3Rd Ave Unit 1011
Phoenix, AZ 85013-3454
Phone (602) 561-8104

Other identifiers 1

IdentifierTypeStateIssuer
D01220753MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL saraelmahdi1987@gmail.com Direct

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Ride Transport LLC Non-Emergency Medical Transport (Van) CurrentSince Jun 4, 2023 Accepting new patients

Organizations & group practices 1

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": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1194471417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 N 3RD AVE UNIT 1011",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133454",
            "telephone_number": "602-561-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 N 3RD AVE UNIT 1011",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133454",
            "telephone_number": "602-561-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMAHDI",
        "first_name": "SARA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2023-05-26",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D01220753",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "saraelmahdi1987@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3848 N 3rd Ave Unit 1011",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850133454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.