Individual provider Active NPI

Jafreen Sadeque, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1235593658
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
76767 Issued in AZ
Practice address
2000 W Bethany Home Rd Ste 200
Phoenix, AZ 85015-2443
Phone
(480) 462-5519
Fax
(602) 347-5402
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 76767 AZ Primary

Addresses

Primary practice location

2000 W Bethany Home Rd Ste 200
Phoenix, AZ 85015-2443

Mailing address

2000 W Bethany Home Rd Ste 200
Phoenix, AZ 85015-2443
Phone (480) 462-5519

Other identifiers 1

IdentifierTypeStateIssuer
201360010MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240221000369 CA Practitioner - Family Practice 9830455328
I20250709002735 AZ Practitioner - Family Practice 9830455328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 668-1600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Aug 18, 2025 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 1, 2025 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Aug 1, 2025 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Aug 18, 2025 Accepting new patients

Locations

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

Interoperability endpoints

  • Direct secure messaging: jafreen.sadeque.1@23190.direct.athenahealth.com

Organizations & group practices 5

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1235593658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W BETHANY HOME RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152443",
            "telephone_number": "480-462-5519",
            "fax_number": "602-347-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W BETHANY HOME RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152443",
            "telephone_number": "480-462-5519",
            "fax_number": "602-347-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEQUE",
        "first_name": "JAFREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "76767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201360010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.