Individual provider Active NPI

Perry E Edinger, PA

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1003169236
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5225 Issued in AZ
Practice address
19636 N 27TH Ave Ste 203
Phoenix, AZ 85027-4022
Phone
(623) 562-5050
Fax
(602) 294-8277
NPI assigned
Oct 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5225 AZ
Medical Physician Assistant 363AM0700X 5225 AZ Primary

Addresses

Primary practice location

19636 N 27TH Ave Ste 203
Phoenix, AZ 85027-4022

Mailing address

2910 N 3Rd Ave # 200
Phoenix, AZ 85013-4434
Phone (024) 063-1816

Other identifiers 1

IdentifierTypeStateIssuer
786013MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130326000639 AZ Practitioner - Physician Assistant 4789829540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

19636 N 27TH Ave
Suite 203
Phoenix, AZ 85027-4022
Phone (623) 562-5050

Hospital & facility affiliations

  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5225AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD CurrentSince May 1, 2025 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince May 1, 2023 Accepting new patients
Neurosurgical Associates, LTD CurrentSince May 1, 2025 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince May 1, 2023 Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

19636 N 27th Ave
Ste 203
Phoenix, AZ 85027
Phone (623) 562-3730

4200 E Camelback Rd
Ste 104
Phoenix, AZ 85018
Phone (602) 229-2110

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

7400 N Dobson Rd
Ste 201
Scottsdale, AZ 85256
Phone (480) 733-7400

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

Interoperability endpoints

  • Direct secure messaging: perry.edinger.1@31799.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1003169236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "024-063-1816",
            "fax_number": "022-642-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE STE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274022",
            "telephone_number": "623-562-5050",
            "fax_number": "602-294-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDINGER",
        "first_name": "PERRY",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5225",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "786013",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.