Sahan Joseph Emmanuel, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7753 Issued in AZ

Practice address

20928 E Heritage Loop Rd Ste 106
Queen Creek, AZ 85142-3900

Phone

(480) 834-7546

NPI assigned

May 12, 2016

Last updated

Aug 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RHG of Arizona PCGroup PAC ID 9436689445, 18 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sahan.emmanuel.1@32866.direct.athenahealth.com

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

• RHG of Arizona, PC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1013744218
  Medicare reassignment Care Compare group NPD
• Heritage Technologies, LLC

  dba Desert Grove Family Medical

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1093764938
  Medicare reassignment NPD

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1245686872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 N STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852033002",
            "telephone_number": "480-834-7546",
            "fax_number": "480-833-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20928 E HERITAGE LOOP RD STE 106",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423900",
            "telephone_number": "480-834-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10238 E Hampton Ave Ste 508",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852093321",
            "country_code": "US",
            "telephone_number": "480-834-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMANUEL",
        "first_name": "SAHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "7753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Medical Partners PLLC
• Helene Elizalde, MSN, APRN-FNP
• Ellsworth Medical Group LLC
• Janna Ellsworth
• Jennifer Emenim, APRN
• Empower Pathways LLC
• Josie Engel
• Daisy Engelhardt
• Pamela Louise English, M.S., CCC-SLP
• Equine Spirit Programs

• Family Medicine Physician in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.