Timothy Ryan Bautista Sacamay

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1301 S Crismon Rd
Mesa, AZ 85209-3767

Phone

(480) 358-6100

NPI assigned

Jun 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Internal Medicine

Education

Arizona College of Osteopathic Medicine Mid Western University, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulmonary Consultants P.C.Group PAC ID 4183600539, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121

Medicare enrollment (NPD)

Enrolled

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.

• Pulmonary Consultants P C

  • Pulmonary Disease Physician
  • Mesa, AZ
  • NPI 1497035091
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Honorhealth

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1427875061
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Florence, AZ
  • NPI 1497572036
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1861219404
  Care Compare affiliation

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1306577390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 PALENCIA PL",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919108064",
            "telephone_number": "619-942-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CRISMON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093767",
            "telephone_number": "480-358-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACAMAY",
        "first_name": "TIMOTHY RYAN",
        "middle_name": "BAUTISTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabh of Arizona Dba Contact
• Mandeep Kumar Sablok, MD
• Christine M Sabo
• Serena Sabovich
• Sabra Primary Care PLLC
• Mary Ann Sacco, RN
• Sumeet Sachdev, M.D.
• Kanwardeep Singh Sachdeva, MD
• Yessica Ramos Sachdeva, M.D.
• Jessica Sachs, FNP-BC

• Student in an Organized Health Care Education/Training Program in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Student in an Organized Health Care Education/Training Program in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.