Individual provider Active NPI

Charles Israel Saperstein, M.D.

  • Gastroenterology Physician
  • Mesa, AZ
National Provider Identifier
1780789826
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
27703 Issued in AZ
Practice address
3048 E Baseline Rd
Suite 105
Mesa, AZ 85204-7287
Phone
(480) 545-6060
Fax
(480) 632-0467
NPI assigned
Sep 13, 2006
Last updated
Feb 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 27703 AZ Primary

Addresses

Primary practice location

3048 E Baseline Rd
Suite 105
Mesa, AZ 85204-7287

Mailing address

3020 E Camelback Rd
Suite 301
Phoenix, AZ 85014-5095
Phone (480) 545-6060

Other identifiers 1

IdentifierTypeStateIssuer
27703OtherAZSTATE LICENSE NUMBER

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
I20090303000179 AZ Practitioner - Gastroenterology 7113821638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.75 of 100Reported as group
Quality
60.45
Promoting interoperability
97
Improvement activities
40
Cost
81.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Digestive Health, PC Gastroenterology CurrentSince Feb 1, 2009 Accepting new patients
Southwest Medical Specialists PC Gastroenterology Past Accepting new patients

Locations

201 W Guadalupe Rd
Ste 209
Gilbert, AZ 85233
Phone (480) 633-5930

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

3048 E Baseline Rd
Ste 105
Mesa, AZ 85204
Phone (480) 545-6060

3020 E Camelback Rd
Ste 301
Phoenix, AZ 85016

Organizations & group practices 2

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1780789826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 E CAMELBACK RD",
            "address_2": "SUITE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145095",
            "telephone_number": "480-545-6060",
            "fax_number": "480-632-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 E BASELINE RD",
            "address_2": "SUITE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047287",
            "telephone_number": "480-545-6060",
            "fax_number": "480-632-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPERSTEIN",
        "first_name": "CHARLES",
        "middle_name": "ISRAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "27703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "27703",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.