Individual provider Active NPI

Amit A Sahasrabudhe, MD PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Scottsdale, AZ
National Provider Identifier
1801840384
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
36788 Issued in AZ
Practice address
8630 E Via de Ventura
Ste 105
Scottsdale, AZ 85258-3358
Phone
(480) 889-1838
Fax
(480) 889-1917
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 36788 AZ
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 36788 AZ Primary

Addresses

Primary practice location

8630 E Via de Ventura
Ste 105
Scottsdale, AZ 85258-3358

Mailing address

8630 E Via de Ventura
Ste 105
Scottsdale, AZ 85258-3358
Phone (480) 889-1838

Other identifiers 2

IdentifierTypeStateIssuer
3Z3949OtherAZHEALTHNET
340268MedicaidAZ

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
I20070911000001 AZ Practitioner - Orthopedic Surgery 8426052044 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36788AZMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Healthcare Corporation CurrentSince Jun 12, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 12, 2023 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Orthopedic Specialists of North America, PLLC Orthopaedic Surgery Past Accepting new patients

Locations

8630 E Via de Ventura
Ste 105
Scottsdale, AZ 85258
Phone (480) 222-7246

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

Interoperability endpoints

  • Direct secure messaging: asahasrabudhe@direct.uspi.com
  • Direct secure messaging: asahasrabudhe515471@direct.jcl.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1801840384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 E VIA DE VENTURA",
            "address_2": "STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583358",
            "telephone_number": "480-889-1838",
            "fax_number": "623-777-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 E VIA DE VENTURA",
            "address_2": "STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583358",
            "telephone_number": "480-889-1838",
            "fax_number": "480-889-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHASRABUDHE",
        "first_name": "AMIT",
        "middle_name": "A",
        "credential": "MD PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "36788",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "36788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3Z3949",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340268",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.