Individual provider Active NPI

Paul Sacks, M.D.

  • Nephrology Physician
  • Phoenix, AZ
National Provider Identifier
1255334892
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
17673 Issued in AZ
Practice address
9100 N 2ND St
Suite 221
Phoenix, AZ 85020-2446
Phone
(602) 943-1231
Fax
(602) 395-9574
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 17673 AZ Primary

Addresses

Primary practice location

9100 N 2ND St
Suite 221
Phoenix, AZ 85020-2446

Mailing address

6622 N. 91St Ave.,
Suite 220
Glendale, AZ 85305
Phone (602) 759-6883

Other identifiers 1

IdentifierTypeStateIssuer
276221MedicaidAZ

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
I20040803000114 AZ Practitioner - NephrologyPractitioner - Internal Medicine 5193796316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Northwestern University Feinberg Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

9100 N 2ND St
Suite 221
Phoenix, AZ 85020-2450
Phone (602) 943-1231

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17673AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Nephrology CurrentSince Oct 1, 1999 Accepting new patients
Akdhc, LLC Nephrology CurrentSince Oct 1, 1999 Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Northwest Tucson Dialysis LLC Past Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients

Locations (25 of 71)

10750 W McDowell Rd
Ste F600
Avondale, AZ 85392
Phone (623) 547-4668

213 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 233-1330

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011

1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

16838 E Palisades Blvd
Bldg C
Fountain Hills, AZ 85268
Phone (480) 816-3131

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 473-7800

1525 N Gilbert Rd
Ste 121
Gilbert, AZ 85234
Phone (480) 497-1127

18699 N 67th Ave
Ste 280
Glendale, AZ 85308
Phone (623) 240-4277

5750 W Thunderbird Rd
Ste G790
Glendale, AZ 85306
Phone (602) 395-3354

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

6622 N 91st Ave
Ste 100
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668

5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

1520 S Dobson Rd
Ste 304
Mesa, AZ 85202
Phone (480) 899-0767

6553 E Baywood Ave
Ste 205
Mesa, AZ 85206
Phone (480) 396-9922

10238 E Hampton Ave
Ste 504
Mesa, AZ 85209
Phone (480) 380-7897

Interoperability endpoints

  • Direct secure messaging: paul.sacks.1@11625.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1255334892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N. 91ST AVE.,",
            "address_2": "SUITE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85305",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 N 2ND ST",
            "address_2": "SUITE 221",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202446",
            "telephone_number": "602-943-1231",
            "fax_number": "602-395-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "17673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276221",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.