Individual provider Active NPI

Florencia Anatelli, MD

  • Dermatopathology (Pathology) Physician
  • Scottsdale, AZ
National Provider Identifier
1053408849
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
57281 Issued in AZ
Practice address
5010 E Shea Blvd Ste 130
Scottsdale, AZ 85254-4709
Phone
(602) 494-1817
Fax
(602) 494-7103
NPI assigned
Oct 5, 2006
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 57281 AZ Primary

Addresses

Primary practice location

5010 E Shea Blvd Ste 130
Scottsdale, AZ 85254-4709

Mailing address

5310 Harvest Hill Rd Ste 290
Dallas, TX 75230-5826
Phone (214) 420-0650

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170123000331 DC Practitioner - Pathology 8820314644 Reassigns benefits to 1 organization
I20190109001728 AZ Practitioner - Pathology 8820314644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Skin Specialists LLCGroup PAC ID 9739079864, 51 clinicians

Practice addresses (Care Compare)

5010 E Shea Blvd
Suite 130
Scottsdale, AZ 85254-4709
Phone (480) 659-8226

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57281AZMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Skin Specialists LLC Current Accepting new patients
Southwest Skin Specialists, LLC CurrentSince Nov 23, 2018 Accepting new patients
Derm Associates LLC CurrentSince Dec 10, 2016 Accepting new patients
Mid-Atlantic Pathology Services, Inc. PastSince Jul 1, 2012 Accepting new patients
Elizabeth Mitchell Dugan MD LLC PastSince Dec 10, 2016 Accepting new patients
Mid-Atlantic Pathology Services, Inc. Past Accepting new patients

Locations

10200 N 92nd St
Ste 205
Scottsdale, AZ 85258
Phone (602) 494-1817

4845 E Thunderbird Rd
Ste 2
Scottsdale, AZ 85254
Phone (602) 494-1817

5010 E Shea Blvd
Ste 130
Scottsdale, AZ 85254
Phone (480) 659-8226

5010 E Shea Blvd
Ste 155
Scottsdale, AZ 85254
Phone (480) 659-8226

15245 Shady Grove Rd
Ste 480
Rockville, MD 20850
Phone (301) 264-5958

10313 Georgia Ave
Ste 309
Silver Spring, MD 20902
Phone (301) 681-4368

5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1053408849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD STE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305826",
            "telephone_number": "214-420-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E SHEA BLVD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544709",
            "telephone_number": "602-494-1817",
            "fax_number": "602-494-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANATELLI",
        "first_name": "FLORENCIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AZ",
            "license": "57281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMA",
            "affiliation": "N",
            "address_1": "5010 E Shea Blvd Ste 130",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852544709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.