Individual provider Active NPI

Elena Sibley, MD

  • Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1326015728
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
21357 Issued in AZ
Practice address
9977 N 90TH St
Ste 178
Scottsdale, AZ 85258-4426
Phone
(480) 947-7401
Fax
(480) 946-5565
NPI assigned
Mar 3, 2006
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 21357 AZ Primary

Addresses

Primary practice location

9977 N 90TH St
Ste 178
Scottsdale, AZ 85258-4426

Mailing address

9977 N 90TH St
Ste 178
Scottsdale, AZ 85258-4426
Phone (480) 947-7401

Other identifiers 1

IdentifierTypeStateIssuer
136938OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21357AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter J. Ferrara M.D. P.C. Surgery Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1326015728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9977 N 90TH ST",
            "address_2": "STE 178",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584426",
            "telephone_number": "480-947-7401",
            "fax_number": "480-946-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9977 N 90TH ST",
            "address_2": "STE 178",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584426",
            "telephone_number": "480-947-7401",
            "fax_number": "480-946-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBLEY",
        "first_name": "ELENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "21357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "136938",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.