SAGE TIMBERLINE
NPI 1619439916
Pediatrics - Pediatric Critical Care Medicine in Phoenix, AZ

Q: What is Sage Timberline's NPI number?

The NPI number for Sage Timberline is 1619439916. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Sage Timberline's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Sage Timberline was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1000 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2025, Sep 5, 2024, Apr 4, 2019 (3 updates tracked since 2019).

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About Sage Timberline NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAGE TIMBERLINE (NPI 1619439916) is an individual pediatric critical care medicine provider in Phoenix, Arizona, licensed in Arizona (76863) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2019).

NPPES Registry Identity

NPI1619439916

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameSAGE TIMBERLINE

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas RdPhoenix, AZ 85016-7761 · (602) 933-3124

Phone(602) 933-1000

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2019

Enumeration DateApril 4, 2019

Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1619439916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in AZ · 76863

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1919 E THOMAS RD, Phoenix, AZ 85016

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sage Timberline is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163923186

PECOS Enrollment IDI20250831000268

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMUR RAGHIB M.D.

Hospitalist