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

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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