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SARA E.Q. PARK MD
NPI 1790738698
Pediatrics in Phoenix, AZ

Active since May 19, 2006PECOS Enrolled
4000 N CENTRAL AVE, COMPREHENSIVE MEDICAL & DENTAL, AZDCS, SITECODE C041-22, PHOENIX, AZ 85012(602) 771-3638(602) 351-8529 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sara E.q. Park Md NPPES

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

SARA E.Q. PARK MD (NPI 1790738698) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (23844) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790738698
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSARA E.Q. PARKCredential: MD
Location Address4000 N CENTRAL AVE, COMPREHENSIVE MEDICAL & DENTAL, AZDCS, SITECODE C041-22Phoenix, AZ 85012-1959
Mailing AddressPo Box 29202, Comprehensive Medical & Dental, Azdcs, Sitecode C041-22Phoenix, AZ 85038-9202 · (602) 771-3638 · Fax (602) 351-8529
Phone(602) 771-3638
Fax(602) 351-8529
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1790738698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 23844
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4000 N CENTRAL AVE, Phoenix, AZ 85012
Open in Google Maps ↗

Other Identifiers 1

Medicaid339491AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara E.q. Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sara Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

District Medical Group, Inc
3.6 mi
Pulmonary Disease
2525 E ROOSEVELT ST, MED CLINIC - PULMONARY
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1700119815 (602) 344-1095

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. PAUL DANIEL WOODBURY DMD
Dentist
4000 N CENTRAL AVE, SUITE 1401
PHOENIX, AZ 85012
Maricopa County (602) 264-3561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Park's NPI number?

The NPI number for Sara Park is 1790738698. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Sara Park located?

Sara Park practices at 4000 N Central Ave Comprehensive Medical & Dental, Azdcs, Sitecode C041-22, Phoenix, AZ 85012. The listed phone number is (602) 771-3638.

What is Sara Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sara Park enrolled in Medicare?

Yes. Sara Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Park reassigns Medicare benefits to District Medical Group, Inc (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sara Park was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.