Individual provider Active NPI

Abedon Abe Saiz, MD

  • Surgery Physician
  • Lake Havasu City, AZ
National Provider Identifier
1477542934
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
24387 Issued in AZ
Practice address
90 Riviera Dr
Lake Havasu City, AZ 86403-5716
Phone
(928) 453-2900
Fax
(877) 864-6566
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 24387 AZ Primary
Vascular Surgery Physician 2086S0129X 24387 AZ

Addresses

Primary practice location

90 Riviera Dr
Lake Havasu City, AZ 86403-5716

Mailing address

90 Riviera Dr
Lake Havasu City, AZ 86403-5716
Phone (928) 453-2900

Other identifiers 1

IdentifierTypeStateIssuer
368557MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000223 AZ Practitioner - General SurgeryPractitioner - Vascular Surgery 8022003490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Arizona College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1775 McCulloch Blvd N
Lake Havasu City, AZ 86403-6549
Phone (928) 453-4200

90 Riviera Dr
Lake Havasu City, AZ 86403-5716
Phone (928) 453-2900

Hospital & facility affiliations

  • River Valley Home Health Home health agency, Parker, AZ, CCN 037297
  • La Paz Regional Hospital Hospital, Parker, AZ, CCN 031317
  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy57
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux27
Leg revascularization (restoring blood flow)1-10
Removal of tissue26
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24387AZMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Paz Regional Hospital Inc Current Accepting new patients
Rio Vista Surgical Associates, P.C. Surgery CurrentSince Oct 1, 2001 Accepting new patients

Locations

1775 McCulloch Blvd N
Lk Havasu Cty, AZ 86403
Phone (925) 453-0696

90 Riviera Dr
Lk Havasu Cty, AZ 86403
Phone (928) 453-2900

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

329 Lake Havasu Ave S
Lk Havasu Cty, AZ 86403
Phone (928) 453-2900

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

Interoperability endpoints

  • Direct secure messaging: abedon.saiz@rvsap-az.direct.office.nextgen.com
  • Direct secure messaging: mhu9897@yourcarecommunity.org
  • Direct secure messaging: abedonsaiz@lprh.medalliesdirect.net
  • 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.

Hospital & facility affiliations 5

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1477542934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 RIVIERA DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035716",
            "telephone_number": "928-453-2900",
            "fax_number": "877-864-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 RIVIERA DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035716",
            "telephone_number": "928-453-2900",
            "fax_number": "877-864-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIZ",
        "first_name": "ABEDON",
        "middle_name": "ABE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "24387",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "24387",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368557",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.