Individual provider Active NPI

Sarah Park Ahn, DPM

  • Foot & Ankle Surgery Podiatrist
  • Scottsdale, AZ
National Provider Identifier
1306252929
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD-000914 Issued in AZ
Practice address
11222 N 54TH PL
Scottsdale, AZ 85254-4767
Phone
(847) 738-3301
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD-000914 AZ Primary

Addresses

Primary practice location

11222 N 54TH PL
Scottsdale, AZ 85254-4767

Mailing address

11222 N 54TH PL
Scottsdale, AZ 85254-4767
Phone (847) 738-3301

Other identifiers 1

IdentifierTypeStateIssuer
522162MedicaidAZ

Other names 1

  • Sarah J Park Former name

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
I20190530001782 AZ Practitioner - Podiatry 7810266095 Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Scottsdale, AZ 85254
Phone (847) 738-3301

Hospital & facility affiliations

  • Scottsdale Healthcare Home Health Home health agency, Scottsdale, AZ, CCN 037024
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue231
Removal of skin lesions1-10
Removal of nail tissue65
Removal or shaving of skin growth36
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD-000914AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Podiatry PLLC Podiatrist CurrentSince Jun 11, 2025 Accepting new patients
San Francisco Foot and Ankle Center Podiatrist Current Accepting new patients

Locations

165 Rowland Way
Ste 206
Novato, CA 94945
Phone (415) 750-1992

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3dd204c7-56e5-4b85-94ad-73d0aa33f7f3/

Organizations & group practices 2

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 2

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1306252929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11222 N 54TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544767",
            "telephone_number": "847-738-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11222 N 54TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544767",
            "telephone_number": "847-738-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "SARAH",
        "middle_name": "PARK",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-000914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522162",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PARK",
            "middle_name": "J",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.