Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SARA ROYA SHADARAM MD
NPI 1720354988
Psychiatry & Neurology - Child & Adolescent Psychiatry in Phoenix, AZ

Q: What is Sara Shadaram's NPI number?

The NPI number for Sara Shadaram is 1720354988. It was assigned to this individual provider in the NPPES registry on March 31, 2012.

Q: What is Sara Shadaram's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Sara Shadaram was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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 March 31, 2012PECOS EnrolledAccepts Medicare Assignment

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 29, 2026, Feb 25, 2025, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

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About Dr. Sara Roya Shadaram Md NPPES

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

DR. SARA ROYA SHADARAM MD (NPI 1720354988) is an individual child & adolescent psychiatry provider in Phoenix, Arizona, licensed in Arizona (57878) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2012).

NPPES Registry Identity

NPI1720354988

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. SARA ROYA SHADARAMCredential: MD

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6076 · Fax (602) 263-1619

Phone(602) 263-1200

Fax(602) 263-1619

Sole ProprietorYes

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2012

Enumeration DateMarch 31, 2012

Last NPPES UpdateJuly 29, 20265 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1720354988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in AZ · 57878✔ Licensed in OH · 35.127900

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 35.127900 (OH), 57878 (AZ)

4212 N 16TH ST, 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

Dr. Sara Roya Shadaram Md 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 ID5092013748

PECOS Enrollment IDI20170811000804

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.

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)