Individual provider Active NPI

Sara Shin, MD

  • Orthopaedic Trauma Physician
  • Phoenix, AZ
National Provider Identifier
1346774734
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
69386 Issued in AZ
Practice address
500 W Thomas Rd Ste 800
Phoenix, AZ 85013-4217
Phone
(602) 406-1234
Fax
(602) 406-6368
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 69386 AZ Primary

Addresses

Primary practice location

500 W Thomas Rd Ste 800
Phoenix, AZ 85013-4217

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

485 S Dobson Rd Ste 110
Chandler, AZ 85224-5600
Phone (480) 728-4470

Other practice location 2

3420 S Mercy Rd Ste 200
Gilbert, AZ 85297-0423
Phone (480) 909-3788

Other practice location 3

1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone (928) 445-2700

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
I20230821001137 AZ Practitioner - Orthopedic Surgery 9931477189 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

500 W Thomas Rd
Suite 800
Phoenix, AZ 85013-4217
Phone (602) 406-1234

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 8, 2023 Accepting new patients
Yavapai Pathology Associates PLC Current Accepting new patients
Yrmc Hospice CurrentSince Mar 1, 2025 Accepting new patients
Yavapai Community Hospital Association CurrentSince Mar 1, 2025 Accepting new patients
Sjhmc Physician Services CurrentSince Aug 8, 2023 Accepting new patients
Chandler Regional Medical Center CurrentSince Aug 8, 2023 Accepting new patients
Yavapai Regional Medical Center Physician Care LLC Current Accepting new patients
Yavapai Regional Medical Center Physician Care LLC CurrentSince Mar 1, 2025 Accepting new patients
Yavapai Regional Medical Center Physician Care LLC CurrentSince Mar 1, 2025 Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

485 S Dobson Rd
Ste 110
Chandler, AZ 85224
Phone (480) 728-4470

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3420 S Mercy Rd
Ste 200
Gilbert, AZ 85297
Phone (480) 909-3788

500 W Thomas Rd
Ste 800
Phoenix, AZ 85013
Phone (602) 406-1234

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

1001 Willow Creek Rd
Ste 1300
Prescott, AZ 86301
Phone (928) 708-4545

3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818

File 56765
Los Angeles, CA 90074

Organizations & group practices 10

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 9

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1346774734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134217",
            "telephone_number": "602-406-1234",
            "fax_number": "602-406-6368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 S Dobson Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245600",
            "country_code": "US",
            "telephone_number": "480-728-4470",
            "fax_number": "480-728-4499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3420 S Mercy Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970423",
            "country_code": "US",
            "telephone_number": "480-909-3788",
            "fax_number": "480-728-8191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Willow Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011641",
            "country_code": "US",
            "telephone_number": "928-445-2700",
            "fax_number": "928-771-5785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "AZ",
            "license": "69386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.