Individual provider Active NPI

Sarah Otero-Quintero, DPM, MS

  • Foot & Ankle Surgery Podiatrist
  • Sierra Vista, AZ
National Provider Identifier
1295912335
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
675 Issued in AZ
Practice address
4810 E Highway 90
Sierra Vista, AZ 85635-2440
Phone
(520) 417-2244
Fax
(520) 459-0487
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002220 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 675 AZ Primary

Addresses

Primary practice location

4810 E Highway 90
Sierra Vista, AZ 85635-2440

Mailing address

4810 E Highway 90
Sierra Vista, AZ 85635-2440
Phone (520) 417-2244

Other identifiers 1

IdentifierTypeStateIssuer
P00824006OtherAZRAILROAD MEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080827000195 AZ Practitioner - Podiatry 1951477942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saguaro Podiatry Associates PLLCGroup PAC ID 1456424852, 2 clinicians

Practice addresses (Care Compare)

4810 E Hwy 90
Sierra Vista, AZ 85635-2440
Phone (520) 417-2244

Hospital & facility affiliations

  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as group
Quality
90.91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of nail tissue114
Removal or shaving of skin growth40
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
675AZMDFoot & Ankle Surgery Podiatrist
5901002220MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Saguaro Podiatry Associates PLLC Podiatrist CurrentSince Aug 1, 2008 Accepting new patients

Locations

103 E 5th St
Ste 1
Douglas, AZ 85607

2174 W Oak Ave
Douglas, AZ 85607
Phone (520) 364-7931

5000 E Mediterranean Dr
Ste D
Sierra Vista, AZ 85635
Phone (520) 417-2244

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.

Hospital & facility affiliations 3

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1295912335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 E HIGHWAY 90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352440",
            "telephone_number": "520-417-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 E HIGHWAY 90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352440",
            "telephone_number": "520-417-2244",
            "fax_number": "520-459-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO-QUINTERO",
        "first_name": "SARAH",
        "credential": "DPM, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002220",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00824006",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.