Individual provider Active NPI

Sadaf Fateh, AU.D

  • Audiologist
  • Goodyear, AZ
National Provider Identifier
1831477538
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA6998 Issued in AZ
Practice address
13555 W McDowell Rd Ste 209
Goodyear, AZ 85395-2628
Phone
(623) 512-4199
Fax
(623) 512-4176
NPI assigned
Jul 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA6998 AZ Primary

Addresses

Primary practice location

13555 W McDowell Rd Ste 209
Goodyear, AZ 85395-2628

Mailing address

13555 W McDowell Rd Ste 209
Goodyear, AZ 85395-2628
Phone (623) 512-4199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000950 AZ Practitioner - Qualified Audiologist 8527230069 Reassigns benefits to 1 organization
Practice locations: Prescott, AZ

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Desert Ear Nose and Throat Specialist PLLCGroup PAC ID 5890105530, 7 clinicians

Practice addresses (Care Compare)

1355 N Litchfield Rd
Suite 135
Goodyear, AZ 85395-0024
Phone (623) 512-4199

13555 W McDowell Rd
Suite 209
Goodyear, AZ 85395-2624

2111 E Highland Ave
Suite 431B
Phoenix, AZ 85016-4735
Phone (623) 512-4162

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Desert Ear Nose & Throat Specialist, PLLC CurrentSince Nov 1, 2020 Accepting new patients
Seashell Audiology LLC Audiologist Past Accepting new patients

Locations

1355 N Litchfield Rd
Ste 135
Goodyear, AZ 85395
Phone (623) 512-4199

13555 W McDowell Rd
Ste 209
Goodyear, AZ 85395
Phone (623) 512-4162

2111 E Highland Ave
Ste 431B
Phoenix, AZ 85016
Phone (623) 512-4162

2111 E Highland Ave
Ste B431
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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1831477538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 209",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952628",
            "telephone_number": "623-512-4199",
            "fax_number": "602-512-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 209",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952628",
            "telephone_number": "623-512-4199",
            "fax_number": "623-512-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATEH",
        "first_name": "SADAF",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA6998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.