Individual provider Active NPI

Mark Edward Oppenlander, MD

  • Neurological Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1033373998
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
45540 Issued in AZ
Practice address
19636 N 27TH Ave Ste 203
Phoenix, AZ 85027-4022
Phone
(235) 625-0506
Fax
(623) 562-5051
NPI assigned
Jul 10, 2008
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X R70169 AZ
Neurological Surgery Physician 207T00000X 4301108590 MI
Neurological Surgery Physician 207T00000X 45540 AZ Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
155583MedicaidAZ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930002438 AZ Practitioner - Neurosurgery 6204143639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Michigan Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

7242 E Osborn Rd
Suite 420
Scottsdale, AZ 85251-6494
Phone (480) 425-8004

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion374
Laminectomy or laminotomy (partial removal of spine bones)85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R70169AZMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD Neurological Surgery CurrentSince Oct 1, 2022 Accepting new patients
Neurosurgical Associates, LTD Neurological Surgery CurrentSince Oct 1, 2022 Accepting new patients
Munson Medical Center Current Accepting new patients

Locations

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

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

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

2910 N 3rd Ave
Ste 200
Phoenix, AZ 85013
Phone (602) 406-3181

33300 N 32nd Ave
Ste 310
Phoenix, AZ 85085
Phone (602) 406-3181

7242 E Osborn Rd
Ste 420
Scottsdale, AZ 85251
Phone (480) 425-8004

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

Interoperability endpoints

  • Direct secure messaging: mark.oppenlander.1@31799.direct.athenahealth.com
  • Direct secure messaging: moppenlander673380@direct.med.umich.edu

Organizations & group practices 3

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

Hospital & facility affiliations 6

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1033373998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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": "623-562-5051"
        },
        {
            "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": "235-625-0506",
            "fax_number": "623-562-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENLANDER",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "R70169",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301108590",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "45540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155583",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.