Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jae-O Bae, MD

Individual provider Pediatric Surgery Physician · NPI 1710196019

Jae-O Bae, MD is a General Surgery in Phoenix, Arizona. Qualified in 2000, 26 years ago. Practices with Phoenix Children's Hospital, a 430-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
26
Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0016
Fax: (602) 933-4309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1920 E Cambridge Ave, Phoenix, AZ 85006-1459 — (602) 254-5561

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 42085 (AZ)

Record details

NPI number1710196019
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESJanuary 23, 2018
Mailing address3200 E Camelback Rd Ste 250, Phoenix, AZ 85018-2327

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Phoenix Children'S Hospital — 430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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