Individual provider Active NPI

Ratko John Sarazin, MD

  • Psychiatry Physician
  • Gilbert, AZ
National Provider Identifier
1740439595
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME100050 Issued in FL
Practice address
2450 E Guadalupe Rd Ste 103
Gilbert, AZ 85234-5116
Phone
(480) 907-6818
Fax
(480) 907-5181
NPI assigned
Sep 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME100050 FL Primary

Addresses

Primary practice location

2450 E Guadalupe Rd Ste 103
Gilbert, AZ 85234-5116

Mailing address

16430 N Scottsdale Rd Ste 210
Scottsdale, AZ 85254-1581
Phone (602) 464-9576

Other practice location 1

16620 N 40th St Ste E-1
Phoenix, AZ 85032-3348
Phone (602) 464-9576

Other practice location 2

18555 N 79th Ave Ste D107
Glendale, AZ 85308-6040
Phone (623) 777-3477

Other practice location 3

6535 W Camelback Rd Ste 4
Phoenix, AZ 85033-1608
Phone (623) 231-5535

Other identifiers 1

IdentifierTypeStateIssuer
000479600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Redemption Psychiatry, LLC Psychiatry PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1740439595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 N SCOTTSDALE RD STE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541581",
            "telephone_number": "602-464-9576",
            "fax_number": "602-626-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E GUADALUPE RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345116",
            "telephone_number": "480-907-6818",
            "fax_number": "480-907-5181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16620 N 40th St Ste E-1",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850323348",
            "country_code": "US",
            "telephone_number": "602-464-9576",
            "fax_number": "602-626-8901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18555 N 79th Ave Ste D107",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853086040",
            "country_code": "US",
            "telephone_number": "623-777-3477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6535 W Camelback Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850331608",
            "country_code": "US",
            "telephone_number": "623-231-5535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARAZIN",
        "first_name": "RATKO",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME100050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000479600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.