Sadra Sasha Jazayeri, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

30789 Issued in AZ

Practice address

4045 E Bell Rd Ste 125
Phoenix, AZ 85032-2238

Phone

(602) 971-0268

Fax

(602) 971-1556

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

DermatologyAlso: Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Dermatology and Mohs Center PCGroup PAC ID 7113144510, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alliance Dermatology & Mohs Center, PC

  • Specialist
  • Phoenix, AZ
  • NPI 1861813156
  Medicare reassignment Care Compare group NPD Authorized official
• Mark a Meyers

  • Specialist
  • Payson, AZ
  • NPI 1790246924
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1700893864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-971-0268",
            "fax_number": "602-971-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322238",
            "telephone_number": "602-971-0268",
            "fax_number": "602-971-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 S Beeline Hwy",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855414814",
            "country_code": "US",
            "telephone_number": "928-472-7107",
            "fax_number": "928-472-6025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 S Beeline Hwy",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415320",
            "country_code": "US",
            "telephone_number": "928-468-6607",
            "fax_number": "928-468-6658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13843 W Meeker Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755285",
            "country_code": "US",
            "telephone_number": "623-584-1325",
            "fax_number": "602-971-1556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 E Stephens Way",
            "address_purpose": "LOCATION",
            "city": "Tonto Basin",
            "state": "AZ",
            "postal_code": "855530239",
            "country_code": "US",
            "telephone_number": "928-472-7107",
            "fax_number": "928-472-6025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 E Stephens Way",
            "address_purpose": "LOCATION",
            "city": "Tonto Basin",
            "state": "AZ",
            "postal_code": "855530239",
            "country_code": "US",
            "telephone_number": "928-472-7107",
            "fax_number": "928-472-6025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14506 W Granite Valley Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853756013",
            "country_code": "US",
            "telephone_number": "623-584-1325",
            "fax_number": "602-971-1556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 W Stephens Way",
            "address_purpose": "LOCATION",
            "city": "Tonto Basin",
            "state": "AZ",
            "postal_code": "85553",
            "country_code": "US",
            "telephone_number": "928-472-7107",
            "fax_number": "928-472-6025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAZAYERI",
        "first_name": "SADRA",
        "middle_name": "SASHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "30789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prakash Jayanthi, MD
• Lakshmi Jayaram, MD
• Meghna Saikumar Jayaraman
• Jayky Billing LLC
• Kaliyah Jaynes, DNP, FNP-C
• JB Medical Solutions, PLLC
• JCK Homecare
• JCK Medical Transportation
• JCL Gastroenterology, LLC
• JCL Gastroenterology, LLC

• Dermatology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.