Active NPI
Smita Sane Bailey, MD
- Pediatric Radiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 42489
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-1213
- Fax
- (602) 933-1214
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 40430 | WI | |
| Pediatric Radiology Physician | 2085P0229X | G87591 | CA | |
| Pediatric Radiology Physician | 2085P0229X | 42489 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1813
Other practice location 1
5131 E Southern Ave
Mesa, AZ 85206-2799
Phone (480) 833-5437
Other practice location 2
5131 E Southern Ave
Mesa, AZ 85206-2799
Phone (480) 833-5437
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G875910 | Medicaid | CA | |
| 491321 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Minnesota Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0930
Hospital & facility affiliations
- Phoenix Children'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G87591 | CA | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Current | Accepting new patients | |
| Simonmed Imaging, Incorporated | Diagnostic Radiology | Past | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Pediatric Radiologic Services SC | Diagnostic Radiology | Past | Accepting new patients |
| Phoenix Children'S Hospital Hope | Past | Accepting new patients | |
| Smi Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Smi Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
19007 N 67th Ave
Glendale, AZ 85308
Phone (602) 933-0777
20325 N 51st Ave
Ste 116
Glendale, AZ 85308
Phone (602) 933-1010
6524 W Sack Dr
Ste 130
Glendale, AZ 85308
5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437
1919 E Thomas Rd
Bldg 2108
Phoenix, AZ 85016
Phone (602) 512-8030
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
6990 E Shea Blvd
Ste 104
Scottsdale, AZ 85254
Organizations & group practices 8
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.
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-
- Multi-Specialty Clinic/Center
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-
- Pharmacy
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- NPI 1386749836
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1164460077
-
- Diagnostic Radiology Physician
- Tucson, AZ
- NPI 1083971741
-
- Diagnostic Radiology Physician
- Wickenburg, AZ
- NPI 1235469057
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
-
- Diagnostic Radiology Physician
- Milwaukee, WI
- NPI 1184673964
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Phoenix, AZ
- NPI 1760480503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1972559946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 E CAMELBACK RD STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182327",
"telephone_number": "602-933-1813",
"fax_number": "602-933-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-1213",
"fax_number": "602-933-1214"
}
],
"practiceLocations": [
{
"address_1": "5131 E Southern Ave",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852062799",
"country_code": "US",
"telephone_number": "480-833-5437",
"fax_number": "480-833-9349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5131 E Southern Ave",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852062799",
"country_code": "US",
"telephone_number": "480-833-5437",
"fax_number": "480-833-9349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "SMITA",
"middle_name": "SANE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "WI",
"license": "40430",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "CA",
"license": "G87591",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "AZ",
"license": "42489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G875910",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "491321",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.