Individual provider Active NPI

Grant Sawisky, MD

  • Family Medicine Physician
  • Marana, AZ
National Provider Identifier
1598484495
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53485 Issued in AZ
Practice address
13395 N Marana Main St
Marana, AZ 85653-7008
Phone
(520) 682-4111
Fax
(520) 682-3817
NPI assigned
Aug 24, 2022
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 53485 AZ Primary

Addresses

Primary practice location

13395 N Marana Main St
Marana, AZ 85653-7008

Mailing address

13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111

Other identifiers 1

IdentifierTypeStateIssuer
146378MedicaidAZ

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
I20220906002416 AZ Practitioner - Family Practice 8426432717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alberta, Faculty of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians

Practice addresses (Care Compare)

1323 W Prince Rd
Tucson, AZ 85705-3114
Phone (520) 887-0800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53485AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center Inc CurrentSince Aug 24, 2022 Accepting new patients
Marana Health Center, Inc Family Medicine CurrentSince Aug 24, 2022 Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

1323 W Prince Rd
Tucson, AZ 85705
Phone (520) 887-0800

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

Interoperability endpoints

  • Direct secure messaging: grant.sawisky.1@32652.direct.athenahealth.com
  • Direct secure messaging: grant.sawisky@1278.direct.myezyaccess.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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1598484495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13395 N MARANA MAIN ST",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856537008",
            "telephone_number": "520-682-4111",
            "fax_number": "520-682-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13395 N MARANA MAIN ST",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856537008",
            "telephone_number": "520-682-4111",
            "fax_number": "520-682-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWISKY",
        "first_name": "GRANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "53485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146378",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marana, AZ

Sources for this page

Verify at the official NPI Registry.