Sara Leah Allen, PAC
Individual provider Active NPI Medical Physician Assistant · Maricopa, AZ
NPI 1427166396 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1427166396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 3507 (AZ)
- Practice address
- 21300 N John Wayne Pkwy Ste 115
Maricopa, AZ 85139-8978 - Phone
- (520) 426-3424
- Fax
- (520) 568-9560
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Oak Street Health Physicians Group of Arizona PLLC
Practice addresses (Care Compare)
2850 E Main St
Suite 106
Mesa, AZ 85213-9304
Phone (480) 618-0019
Hospital & facility affiliations
- Banner Home Care-Arizona
- Sunrise Health Services
- Banner Baywood Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070810000040 | AZ | Practitioner - Physician Assistant | 1759367279 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3507 | AZ | MD | Clinical Psychologist |
| 1055 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Hospital and Medical Center | Current |
Accepting new patients |
Locations
3030 N Central Ave
Ste 1001
Phoenix, AZ 85012
File 56765
Los Angeles, CA 90074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3507 | AZ | Yes |
| Physician Assistant | 363A00000X | 1055 | WI |
Addresses
Primary practice location
21300 N John Wayne Pkwy Ste 115
Maricopa, AZ 85139-8978
Mailing address
3030 N Central Ave Ste 1001
Phoenix, AZ 85012-2716
Phone (602) 406-4786
Other practice location 1
6655 S Rural Rd
3
Tempe, AZ 85283-3793
Phone (480) 831-0600
Other practice location 2
2850 E Main St Ste 106
Mesa, AZ 85213-9304
Phone (480) 618-0019
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431627 | Medicaid | AZ |
Other names
- Sara Leah Gilles
Other providers in Maricopa, AZ
- Akdhc, LLC
- Lisa Marie Akers
- Cherry Akins
- Tamla Alexander
- Elizabeth Ann Allen
- Alliance Oncology of Arizona, LLC
- Dusty Matthew Allred
- Natalia Alvear
- Deidra Amico
- Amity Non-Emergency Transportation
All providers in Maricopa, AZ · Medical Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.