Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710196019 Individual Practitioner Male Practitioner

Dr. Jae-O Bae , MD

Surgery - Pediatric Surgery • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jae-O Bae, MD is a certified Surgery - Pediatric Surgery practicing in Phoenix, AZ. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Bae delivers high-quality medical care to the local community at 1919 E THOMAS RD.

Dr. Bae is affiliated with Phoenix Children'S Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1919 E Thomas Rd

Phoenix, AZ 850167710

Telephone 6029330016
Fax 6029334309
Associated Practice Facility / Clinic
🏢 Phoenix Children's Hospital Facility NPI 1760480503

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +3.9 yrs vs City Avg
City Avg: 22.1 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
21 Specialists

Practicing in Phoenix, AZ (37 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bae (26 Years) 26 Yrs
Phoenix Specialty Average (22.1 Years) 22.1 Yrs

Medical Specialties & State Licenses

Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License AZ 42085

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
430210 (AZ)

Hospital & Practice Group Affiliations

Phoenix Children's Hospital

1920 E Cambridge Ave, Phoenix, AZ 850061462

Phone: 6029331000

Secondary Practice Locations

1920 E Cambridge Ave, Suite #201

Phoenix, AZ 850061459

Phone: 6022545561

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Patricia Thiel , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1043721095

CPNPPC

Dr. Jason Fraser , MD

Surgery - Pediatric Surgery

NPI 1083643159

Doctor of Medicine (M.D.)

Candace Fradette , FNP

Nurse Practitioner - Family

NPI 1144690280

Family Nurse Practitioner

Dr. Dorothy Rowe , MD

Surgery - Pediatric Surgery

NPI 1225010598

Doctor of Medicine (M.D.)

Dr. Erin Garvey , MD

Surgery - Pediatric Surgery

NPI 1255621405

Doctor of Medicine (M.D.)

Dr. David Notrica , MD

Surgery - Pediatric Surgery

NPI 1326020603

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2018

Registered at 1919 E THOMAS RD, PHOENIX, AZ 850167710 (Tel: 6029330016)

📍
Updated Business Mailing Address January 23, 2018

Registered at 3200 E CAMELBACK RD STE 250, PHOENIX, AZ 850182327 (Tel: 6029331813)

👤
Provider Name / Credentials Updated January 23, 2018

Recorded as JAE-O BAE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2018

Surgery (License #42085 in AZ)

NPI Profile Active December 31, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 31, 2009

Registered at 1920 E CAMBRIDGE AVE, SUITE #201, PHOENIX, AZ 850061459 (Tel: 6022545561)

📍
Updated Business Mailing Address December 31, 2009

Registered at 1920 E CAMBRIDGE AVE, SUITE #201, PHOENIX, AZ 850061459 (Tel: 6022545561)

👤
Provider Name / Credentials Updated December 31, 2009

Recorded as JAE-O BAE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2009

Surgery (License #42085 in AZ)

🟢
Initial NPI Registration & Enumeration May 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jae-O Bae. Be the first to share your experience!

Sign in to leave a review for Dr. Jae-O Bae

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1710196019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: January 23, 2018
Sole Proprietor: No

Mailing Address

3200 E Camelback Rd Ste 250

Phoenix, AZ 850182327

Phone: 6029331813

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.