Individual provider Active NPI

Sara Elizabeth Ancello, D.O.

  • Gastroenterology Physician
  • Mesa, AZ
National Provider Identifier
1720420557
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
007159 Issued in AZ
Practice address
3638 E Southern Ave Ste C101
Mesa, AZ 85206-2563
Phone
(480) 564-3763
Fax
(480) 716-3723
NPI assigned
Jul 22, 2013
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 007159 AZ Primary

Addresses

Primary practice location

3638 E Southern Ave Ste C101
Mesa, AZ 85206-2563

Mailing address

3638 E Southern Ave Ste C101
Mesa, AZ 85206-2563
Phone (480) 564-3763

Other identifiers 1

IdentifierTypeStateIssuer
526023MedicaidAZ

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
I20190826000180 AZ Practitioner - Gastroenterology 4688902901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Arizona Medical Associates PCGroup PAC ID 7416932389, 12 clinicians
Arizona Gastrointestinal Associates PLCGroup PAC ID 6901054014, 36 clinicians

Practice addresses (Care Compare)

3638 E Southern Ave
Suite C 108
Mesa, AZ 85206-2563
Phone (480) 834-0771

8761 E Bell Rd
Suite 105
Scottsdale, AZ 85260-1316
Phone (480) 219-6662

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy183
Upper gastrointestinal (GI) endoscopy for acid reflux152

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arizona Gastroenterology PC Gastroenterology CurrentSince Mar 30, 2025 Accepting new patients
Arizona Gastrointestinal Associates, PLC Gastroenterology CurrentSince Jan 1, 2026 Accepting new patients
Reddy Gi Associates CurrentSince Jan 10, 2021 Accepting new patients
Central Arizona Medical Associates PC Gastroenterology CurrentSince Jan 4, 2021 Accepting new patients
Central Arizona Gi & Liver Institute LLC Past Accepting new patients
Brandon Suedekum MD, PC Past Accepting new patients

Locations

1810 S Crismon Rd
Ste 191
Mesa, AZ 85209
Phone (480) 621-5891

3638 E Southern Ave
Ste C108
Mesa, AZ 85206
Phone (480) 834-0771

5555 E Baseline Rd
Mesa, AZ 85206
Phone (480) 393-5075

600 E University Dr
Mesa, AZ 85203
Phone (480) 610-5100

8761 E Bell Rd
Ste 105
Scottsdale, AZ 85260
Phone (480) 219-6662

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sara.ancello.p1@direct.camavmed.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1720420557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 E SOUTHERN AVE STE C101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062563",
            "telephone_number": "480-564-3763",
            "fax_number": "480-716-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3638 E SOUTHERN AVE STE C101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062563",
            "telephone_number": "480-564-3763",
            "fax_number": "480-716-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCELLO",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "007159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526023",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.