NPIMap

Individual provider Active NPI

Sergio Szpaizman, MD

  • Family Medicine Physician
  • Tempe, AZ
National Provider Identifier
1619031028
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14776 Issued in AZ
Practice address
1492 S Mill Ave
Suite 312
Tempe, AZ 85281-5652
Phone
(602) 243-7277
Fax
(480) 927-1092
NPI assigned
Dec 20, 2006
Last updated
Aug 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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 14776 AZ Primary

Addresses

Primary practice location

1492 S Mill Ave
Suite 312
Tempe, AZ 85281-5652

Mailing address

2702 N 3Rd St
Suite 4020
Phoenix, AZ 85004-1130
Phone (602) 323-3393

Other identifiers 2

IdentifierTypeStateIssuer
1619031028OtherAZMEDICARE-NPI
244583MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Urgent Care LLC Past Accepting new patients
Cigna Healthcare of Arizona, Inc. Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Banner Occupational Health Arizona LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Banner Occupational Health Arizona LLC PastSince Oct 27, 2019 Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Banner Occupational Health Arizona LLC PastSince Oct 27, 2019 Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1619031028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 N 3RD ST",
            "address_2": "SUITE 4020",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041130",
            "telephone_number": "602-323-3393",
            "fax_number": "602-323-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE",
            "address_2": "SUITE 312",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815652",
            "telephone_number": "602-243-7277",
            "fax_number": "480-927-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZPAIZMAN",
        "first_name": "SERGIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "14776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-NPI",
            "identifier": "1619031028",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244583",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.