Individual provider Active NPI

Dylan Sebranek

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1013891852
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4215 N Drinkwater Blvd Apt 274
Scottsdale, AZ 85251-3958
Phone
(623) 377-1668
NPI assigned
Aug 4, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4215 N Drinkwater Blvd Apt 274
Scottsdale, AZ 85251-3958

Mailing address

4215 N Drinkwater Blvd Apt 274
Scottsdale, AZ 85251-3958

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318004256 AZ Practitioner - Physician Assistant 6800370719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4215 N Drinkwater Blvd Apt
Suite 274
Scottsdale, AZ 85251-3958

7555 E Osborn Rd
Suite 104
Scottsdale, AZ 85251-6468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1013891852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 N DRINKWATER BLVD APT 274",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 N DRINKWATER BLVD APT 274",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513958",
            "telephone_number": "623-377-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBRANEK",
        "first_name": "DYLAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.