Active NPI
Samuel Steven Bailey, M.D.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Scottsdale, AZ
National Provider Identifier
1396912911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 41765
- Practice address
- 20201 N Scottsdale Healthcare Dr
Ste 230
Scottsdale, AZ 85255-4134 - Phone
- (480) 684-1360
- Fax
- (480) 273-8695
- NPI assigned
- May 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 41765 | IL | Primary |
Addresses
Primary practice location
20201 N Scottsdale Healthcare Dr
Ste 230
Scottsdale, AZ 85255-4134
Mailing address
20201 N Scottsdale Healthcare Dr
Ste 230
Scottsdale, AZ 85255-4134
Phone (480) 684-1360
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 458194 | Medicaid | AZ | |
| 1396912911 | Other | AZ | BCBS |
| 3Z0953 | Other | AZ | HEALTH NET |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Tulane University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9097 E Desert Cove Ave
Suite 250
Scottsdale, AZ 85260-6278
Phone (480) 847-1193
Hospital & facility affiliations
- Honorhealth Scottsdale Shea Medical Center
- Honorhealth Scottsdale Thompson Peak Med Ctr
- Honorhealth Deer Valley Medical Center
- Honor Health John C. Lincoln Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- Quality
- 71.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41765 | IL | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Ear Nose and Throat PC | Otolaryngology | Past | Accepting new patients |
| Valley ENT, PC | Otolaryngology | Past | Accepting new patients |
Interoperability endpoints
- samuel.bailey@1028.chartlogic.direct-ci.com
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1508990185
-
- Otolaryngology Physician
- Flagstaff, AZ
- NPI 1558449900
-
- Otolaryngology Physician
- Tucson, AZ
- NPI 1770852600
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1396912911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20201 N SCOTTSDALE HEALTHCARE DR",
"address_2": "STE 230",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852554134",
"telephone_number": "480-684-1360",
"fax_number": "480-273-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20201 N SCOTTSDALE HEALTHCARE DR",
"address_2": "STE 230",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852554134",
"telephone_number": "480-684-1360",
"fax_number": "480-273-8695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "SAMUEL",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "IL",
"license": "41765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "458194",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1396912911",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "3Z0953",
"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 Sep 15, 2015; 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.