Individual provider Active NPI

Sara R Ghobraiel, MD

  • Ophthalmology Physician
  • Glendale, AZ
National Provider Identifier
1477815389
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
54469 Issued in AZ
Practice address
6677 W Thunderbird Rd Ste F101
Glendale, AZ 85306-3723
Phone
(623) 878-3939
Fax
(623) 878-5567
NPI assigned
Jun 15, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036.140209 IL
Ophthalmology Physician 207W00000X 54469 AZ Primary

Addresses

Primary practice location

6677 W Thunderbird Rd Ste F101
Glendale, AZ 85306-3723

Mailing address

6677 W Thunderbird Rd Ste F101
Glendale, AZ 85306-3723
Phone (623) 878-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20170811003063 AZ Practitioner - Ophthalmology 2264722016 Reassigns benefits to 2 organizations
I20200924002052 TX Practitioner - Ophthalmology 2264722016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Vision IncGroup PAC ID 1658350236, 17 clinicians

Practice addresses (Care Compare)

18325 N Allied Way
Suite 100
Phoenix, AZ 85054-3106
Phone (602) 953-3339

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54469AZMDOphthalmology Physician
036.140209ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Aug 1, 2020 Accepting new patients
Eye Physicians & Surgeons of Arizona, PC Ophthalmology CurrentSince Aug 24, 2017 Accepting new patients
Millennium Vision Inc Ophthalmology CurrentSince Apr 25, 2022 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Aug 1, 2020 Accepting new patients

Locations

6677 W Thunderbird Rd
Ste 101
Glendale, AZ 85306

6677 W Thunderbird Rd
Ste F101
Glendale, AZ 85306

16150 N Arrowhead Fountains Ctr Dr
Ste 150
Peoria, AZ 85382
Phone (480) 949-5990

18325 N Allied Way
Ste 100
Phoenix, AZ 85054
Phone (602) 467-4966

2020 N Central Ave
Ste 1100
Phoenix, AZ 85004
Phone (623) 236-1999

20940 N Tatum Blvd
Ste 370
Phoenix, AZ 85050
Phone (480) 563-8787

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1615/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sara.ghobraiel.p11@direct.avp.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477815389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE F101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063723",
            "telephone_number": "623-878-3939",
            "fax_number": "623-878-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE F101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063723",
            "telephone_number": "623-878-3939",
            "fax_number": "623-878-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOBRAIEL",
        "first_name": "SARA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.140209",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "54469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.