Individual provider Active NPI

Sina Safar, DPM

  • Podiatrist
  • Gilbert, AZ
National Provider Identifier
1417356775
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD-000877 Issued in AZ
Practice address
4915 E Baseline Rd Ste 121
Gilbert, AZ 85234-2969
Phone
(480) 812-3668
NPI assigned
Aug 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00329100 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00329100 NJ
Podiatrist 213E00000X POD-000877 AZ Primary

Addresses

Primary practice location

4915 E Baseline Rd Ste 121
Gilbert, AZ 85234-2969

Mailing address

4915 E Baseline Rd Ste 121
Gilbert, AZ 85234-2969
Phone (480) 812-3668

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171227002513 AZ Practitioner - Podiatry 1052604857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Ankle Specialty Centers, LLCGroup PAC ID 7517058381, 7 clinicians

Practice addresses (Care Compare)

4915 E Baseline Rd
Suite 121
Gilbert, AZ 85234-2969
Phone (480) 812-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of skin lesions37
Removal of nail tissue179
Removal or shaving of skin growth35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00329100NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Healthcare Mobile Solutions, LLC Podiatrist CurrentSince Jan 2, 2018 Accepting new patients
Foot Ankle Specialty Centers, LLC Podiatrist CurrentSince Dec 13, 2021 Accepting new patients

Locations

1100 S Dobson Rd
Ste 118
Chandler, AZ 85286
Phone (480) 821-3800

1600 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (240) 743-7869

4915 E Baseline Rd
Ste 121
Gilbert, AZ 85234
Phone (480) 812-3668

6239 E Brown Rd
Ste 112
Mesa, AZ 85205
Phone (480) 854-2676

215 S Power Rd
Ste 102
Mesa, AZ 85206
Phone (480) 985-9005

1728 W Glendale Ave
Ste 100
Phoenix, AZ 85021
Phone (480) 812-3668

2228 W Northern Ave
Ste B101
Phoenix, AZ 85021

4845 E Thunderbird Rd
Ste 2
Scottsdale, AZ 85254
Phone (602) 494-1817

1840 E Baseline Rd
Ste A1
Tempe, AZ 85283
Phone (480) 718-5400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719100800000",
    "number": "1417356775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342969",
            "telephone_number": "480-812-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342969",
            "telephone_number": "480-812-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAR",
        "first_name": "SINA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-22",
        "last_updated": "2024-06-23",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00329100",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00329100",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "POD-000877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.