Individual provider Active NPI

Saeda Gharaibeh, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1235759689
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
71440 Issued in AZ
Practice address
234 E 149TH St Dept of
Bronx, NY 10451-5504
Phone
(718) 579-4739
NPI assigned
Apr 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 71440 AZ Primary

Addresses

Primary practice location

234 E 149TH St Dept of
Bronx, NY 10451-5504

Mailing address

2540 N Moreland Blvd Apt 309
Shaker Heights, OH 44120-1379
Phone (773) 658-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240301000815 AZ Practitioner - Internal Medicine 3476998352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

6860 E Sunrise Dr
Suite 100
Tucson, AZ 85750-0733
Phone (520) 694-1042

Hospital & facility affiliations

  • Banner Home Care Home health agency, Tucson, AZ, CCN 037282
  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Banner-University Medical Center South Campus Hospital, Tucson, AZ, CCN 030111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71440AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Feb 1, 2024 Accepting new patients
Banner-University Medical Group Internal Medicine Current Accepting new patients
Banner-University Medical Group CurrentSince Feb 1, 2024 Accepting new patients

Locations

1141 S La Canada Dr
Green Valley, AZ 85614
Phone (520) 694-3030

8020 N Cortaro Rd
Ste 150
Tucson, AZ 85743
Phone (520) 694-1041

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

2945 W Ina Rd
Ste 121
Tucson, AZ 85741
Phone (520) 694-7601

6860 E Sunrise Dr
Ste 100
Tucson, AZ 85750
Phone (520) 404-8710

8290 S Houghton Rd
Ste 150
Tucson, AZ 85747
Phone (520) 694-1045

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.

Hospital & facility affiliations 6

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": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1235759689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 N MORELAND BLVD APT 309",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441201379",
            "telephone_number": "773-658-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST DEPT OF",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARAIBEH",
        "first_name": "SAEDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-25",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "71440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.