Individual provider Active NPI

Payam Sarraf, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
National Provider Identifier
1649273814
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0574 Issued in AZ
Practice address
4915 E Baseline Rd
Suite 121
Gilbert, AZ 85234-2965
Phone
(480) 812-3668
Fax
(480) 782-1290
NPI assigned
May 23, 2005
Last updated
Jan 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0574 AZ Primary
Foot & Ankle Surgery Podiatrist 213ES0103X E4366 CA

Addresses

Primary practice location

4915 E Baseline Rd
Suite 121
Gilbert, AZ 85234-2965

Mailing address

4915 E Baseline Rd
Suite 121
Gilbert, AZ 85234-2965
Phone (480) 812-3668

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031231000551 AZ Practitioner - Podiatry 2567360092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Ankle Specialty Centers, LLCGroup PAC ID 7517058381, 7 clinicians

Practice addresses (Care Compare)

4915 E Baseline Rd
Suite 121
Gilbert, AZ 85234-2969
Phone (480) 812-3668

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions41
Removal of nail tissue429
Removal or shaving of skin growth238
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4366CAMDFoot & Ankle Surgery Podiatrist
0574AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Ankle Specialty Centers, LLC Current Accepting new patients
Foot Ankle Specialty Centers, LLC Primary Podiatric Medicine CurrentSince Mar 1, 2007 Accepting new patients

Locations

1600 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (240) 743-7869

4915 E Baseline Rd
Ste 121
Gilbert, AZ 85234
Phone (480) 812-3668

1728 W Glendale Ave
Ste 100
Phoenix, AZ 85021
Phone (480) 812-3668

4845 E Thunderbird Rd
Ste 2
Scottsdale, AZ 85254
Phone (602) 494-1817

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFJEAA

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, 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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1649273814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD",
            "address_2": "SUITE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342965",
            "telephone_number": "480-812-3668",
            "fax_number": "480-782-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD",
            "address_2": "SUITE 121",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342965",
            "telephone_number": "480-812-3668",
            "fax_number": "480-782-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRAF",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0574",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.