Jasmine Sra, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28089 Issued in AZ

Practice address

7200 W Bell Rd
BLDG E103
Glendale, AZ 85308-8534

Phone

(602) 529-4800

Fax

(602) 529-4799

NPI assigned

Jul 31, 2013

Last updated

Mar 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

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

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.

• Sun Arizona Medical Group P.C.

  • Internal Medicine Physician
  • Peoria, AZ
  • NPI 1982005328
  Medicare reassignment Authorized official
• 4C Medical Group PLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1558654384

  Internal Medicine

  Medicare reassignment NPD
• 4C Medical Group PLC

  dba 4C Urgent Care

  • Urgent Care Clinic/Center
  • Carefree, AZ
  • NPI 1669916607
  NPD

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1689006785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 W EMILE ZOLA AVE",
            "address_2": "SUITE 5118",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814811",
            "telephone_number": "602-529-4800",
            "fax_number": "602-529-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W BELL RD",
            "address_2": "BLDG E103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088534",
            "telephone_number": "602-529-4800",
            "fax_number": "602-529-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRA",
        "first_name": "JASMINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "28089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "571861",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin L Spitzer, MD
• Kaitlin Spivey, FNP-C
• Spooner Physical Therapy & Hand Rehab, PC (Spooner Estrella)
• Sports Medicine Institute Inc
• Katrina M Spradling, FNP-C
• Dharmashree Sreedhar, M.D.
• Srivani Srikantiah, M.D. PLLC
• Namun Shanti Srivastava, MD
• Husam Srour Mallah, MD
• Ssa Acu Endeavors LLC (Modern Accupuncture)

• Internal Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.