Individual provider Active NPI

Monika Ann Sajecki, PA-C

  • Medical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1699925362
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4264 Issued in AZ
Practice address
16100 N 71St St
Suite 100
Scottsdale, AZ 85254-2209
Phone
(480) 656-0016
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4264 AZ Primary

Addresses

Primary practice location

16100 N 71St St
Suite 100
Scottsdale, AZ 85254-2209

Mailing address

16100 N 71St St
Suite 100
Scottsdale, AZ 85254-2209
Phone (480) 656-0016

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150609002703 AZ Practitioner - Physician Assistant 3971824475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4264AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Arizona Inc CurrentSince Jun 1, 2015 Accepting new patients
Heritage Technologies, LLC Past Accepting new patients
Highland Medical Center, PC PastSince Dec 7, 2010 Accepting new patients

Locations

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

16100 N 71st St
Ste 100
Scottsdale, AZ 85254
Phone (480) 656-0016

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26465/brand/1/csg/1/fhir/r4

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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1699925362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 N 71ST ST",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542209",
            "telephone_number": "480-656-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 N 71ST ST",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542209",
            "telephone_number": "480-656-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJECKI",
        "first_name": "MONIKA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.