Individual provider Active NPI

Sarah Frederike Otter, DO

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1386149623
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
008979 Issued in AZ
Practice address
5850 E Still Cir
Mesa, AZ 85206-3618
Phone
(480) 219-6000
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 008979 AZ Primary
Family Medicine Physician 207Q00000X 20A23271 CA
Family Medicine Physician 207Q00000X 2020042950 MO
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5850 E Still Cir
Mesa, AZ 85206-3618

Mailing address

5850 E Still Cir
Mesa, AZ 85206-3618
Phone (480) 219-6000

Other practice location 1

8603 E Royal Palm Rd Ste 120
Scottsdale, AZ 85258-4389
Phone (480) 427-0678

Other practice location 2

10200 N 92nd St Ste 200
Scottsdale, AZ 85258-4543
Phone (480) 882-7410

Other practice location 3

6675 Holmes #360
Kansas City, MO 64131
Phone (816) 276-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 11, 2024 through Oct 11, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008979AZMDFamily Medicine Physician
20A23271CAMDFamily Medicine Physician
2020042950MOMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1386149623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 E STILL CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063618",
            "telephone_number": "480-219-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 E STILL CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063618",
            "telephone_number": "480-219-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8603 E Royal Palm Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584389",
            "country_code": "US",
            "telephone_number": "480-427-0678",
            "fax_number": "480-900-8426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10200 N 92nd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584543",
            "country_code": "US",
            "telephone_number": "480-882-7410",
            "fax_number": "480-451-9098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6675 Holmes #360",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64131",
            "country_code": "US",
            "telephone_number": "816-276-7600",
            "fax_number": "816-276-7992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTER",
        "first_name": "SARAH",
        "middle_name": "FREDERIKE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "008979",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A23271",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020042950",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.