Individual provider Active NPI

Paul Singh Sraow, M.D.

  • Interventional Pain Medicine Physician
  • Tempe, AZ
National Provider Identifier
1669634044
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
46748 Issued in AZ
Practice address
2600 E Southern Ave
Ste I-1
Tempe, AZ 85282-7610
Phone
(480) 420-3600
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 46748 AZ
Interventional Pain Medicine Physician 208VP0014X 46748 AZ Primary

Addresses

Primary practice location

2600 E Southern Ave
Ste I-1
Tempe, AZ 85282-7610

Mailing address

2600 E Southern Ave
Ste I-1
Tempe, AZ 85282-7610
Phone (480) 420-3600

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
I20131010000457 AZ Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3678707437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2600 E Southern Ave
Suite I1
Tempe, AZ 85282-7738
Phone (480) 420-3600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion14
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46748AZMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Sports Rehabilitation Institute CurrentSince Oct 1, 2013 Accepting new patients
Sunstate Cardiology PC CurrentSince Jun 1, 2017 Accepting new patients

Locations

655 S Dobson Rd
Ste A201
Chandler, AZ 85224
Phone (480) 821-3821

2600 E Southern Ave
Ste I1
Tempe, AZ 85282
Phone (480) 420-3600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9401/brand/1/csg/1/fhir/r4
  • Direct secure messaging: paul.sraow.1@8279.direct.athenahealth.com
  • Direct secure messaging: paul.sraow.1@9401.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1669634044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE",
            "address_2": "STE I-1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827610",
            "telephone_number": "480-420-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE",
            "address_2": "STE I-1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827610",
            "telephone_number": "480-420-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRAOW",
        "first_name": "PAUL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "46748",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "46748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.