Individual provider Active NPI

Parwin Shetab Sadaat, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1487695243
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34894 Issued in AZ
Practice address
8913 N 19TH Ave
Phoenix, AZ 85021-4206
Phone
(602) 858-4361
Fax
(480) 906-2176
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34894 AZ Primary

Addresses

Primary practice location

8913 N 19TH Ave
Phoenix, AZ 85021-4206

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Other practice location 1

2302 N 75th Ave
Phoenix, AZ 85035-1216
Phone (623) 849-7500

Other practice location 2

2302 N 75th Ave
Phoenix, AZ 85035-1216
Phone (623) 849-7500

Other practice location 3

2927 N 7th Ave
Phoenix, AZ 85013
Phone (602) 406-3153

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
I20060323000806 AZ Practitioner - Family Practice 1759308935 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jul 14, 2008 Accepting new patients
Archwell Health Professional Services of Arizona, LLC CurrentSince Apr 15, 2024 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jul 14, 2008 Accepting new patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Aug 18, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Feb 21, 2017 Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Ultimate Urgent Care Centers Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients

Locations

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

5620 W Thunderbird Rd
Ste C1
Glendale, AZ 85306
Phone (602) 843-1317

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260

7727 W Deer Valley Rd
Ste E210
Peoria, AZ 85382
Phone (602) 390-1046

8913 N 19th Ave
Phoenix, AZ 85021
Phone (602) 858-4361

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

1618 E Thomas Rd
Phoenix, AZ 85016

3030 N Central Ave
Ste 1001
Phoenix, AZ 85012

2927 N 7th Ave
Phoenix, AZ 85013
Phone (602) 406-3153

8030 N 19th Ave
Phoenix, AZ 85021
Phone (602) 995-1231

8469 E McDonald Dr
Ste 100
Scottsdale, AZ 85250

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

File 56765
Los Angeles, CA 90074

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1487695243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8913 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214206",
            "telephone_number": "602-858-4361",
            "fax_number": "480-906-2176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 N 75th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850351216",
            "country_code": "US",
            "telephone_number": "623-849-7500",
            "fax_number": "623-849-7588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2302 N 75th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850351216",
            "country_code": "US",
            "telephone_number": "623-849-7500",
            "fax_number": "623-849-7588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2927 N 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85013",
            "country_code": "US",
            "telephone_number": "602-406-3153",
            "fax_number": "602-406-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADAAT",
        "first_name": "PARWIN",
        "middle_name": "SHETAB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.