Individual provider Active NPI

Sadaf Jamil, DO

  • Hospitalist Physician
  • Anthem, AZ
National Provider Identifier
1396052254
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
005687 Issued in AZ
Practice address
3655 W Anthem Way
Suite a-109 PMB 313
Anthem, AZ 85086-0430
Phone
(623) 505-9880
NPI assigned
Sep 13, 2010
Last updated
May 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 005687 AZ Primary
Internal Medicine Physician 207R00000X 005687 AZ

Addresses

Primary practice location

3655 W Anthem Way
Suite a-109 PMB 313
Anthem, AZ 85086-0430

Mailing address

3655 W Anthem Way
Suite a-109 PMB 313
Anthem, AZ 85086-0430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110825000520 AZ Practitioner - Internal Medicine 7012187214 Reassigns benefits to 2 organizations
I20221215002906 CA Practitioner - Internal Medicine 7012187214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
App of Southern Arizona HM LLC Hospitalist CurrentSince Jul 16, 2022 Accepting new patients
Vituity - Arizona Hospitalists PC Internal Medicine CurrentSince Dec 19, 2022 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Vituity - Arizona Hospitalists PC Hospitalist CurrentSince Dec 19, 2022 Accepting new patients
Honorhealth Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1396052254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 W ANTHEM WAY",
            "address_2": "SUITE A-109 PMB 313",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 W ANTHEM WAY",
            "address_2": "SUITE A-109 PMB 313",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860430",
            "telephone_number": "623-505-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIL",
        "first_name": "SADAF",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "005687",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "005687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.