NPIMap

Individual provider Active NPI

Daniel Scott Deublein, PA-C

  • Medical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1053625558
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4663 Issued in AZ
Practice address
3501 N Scottsdale Rd Ste 130
Scottsdale, AZ 85251-5649
Phone
(480) 425-5000
NPI assigned
Jul 27, 2010
Last updated
Feb 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4663 AZ Primary

Addresses

Primary practice location

3501 N Scottsdale Rd Ste 130
Scottsdale, AZ 85251-5649

Mailing address

23735 S Stoney Lake Dr
Sun Lakes, AZ 85248-6144
Phone (480) 231-2441

Other practice location 1

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-4809

Other identifiers 1

IdentifierTypeStateIssuer
551229MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AK, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101027000098 AZ Practitioner - Physician Assistant 6406040112 Reassigns benefits to 3 organizations
I20240209001909 AK Practitioner - Physician Assistant 6406040112 Reassigns benefits to 1 organization
I20240409001943 TX Practitioner - Physician Assistant 6406040112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flagstaff Pain and Treatment CenterGroup PAC ID 0749691038, 13 clinicians

Practice addresses (Care Compare)

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

823 N San Francisco St
Flagstaff, AZ 86001-3265

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flagstaff Pain & Treatment Center CurrentSince Jan 14, 2026 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Mar 25, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Mar 25, 2024 Accepting new patients
Kodiak Area Native Association Current Accepting new patients
Scottsdale Medical Imaging, LTD Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

823 N San Francisco St
Ste A
Flagstaff, AZ 86001
Phone (480) 213-8488

4611 E Shea Blvd
Ste 200
Phoenix, AZ 85028
Phone (480) 584-3635

8900 E Raintree Dr
Ste 100
Scottsdale, AZ 85260
Phone (480) 213-8488

3401 S White Mountain Rd
Ste A
Show Low, AZ 85901
Phone (520) 244-0089

610 E Baseline Rd
Tempe, AZ 85283
Phone (480) 969-0405

Interoperability endpoints

  • Direct secure messaging: dsdeublein@direct.kodiakhealthcare.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JICADD/Endpoint/JICADD

Organizations & group practices 9

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 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1053625558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23735 S STONEY LAKE DR",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852486144",
            "telephone_number": "480-231-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515649",
            "telephone_number": "480-425-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 E Osborn Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516432",
            "country_code": "US",
            "telephone_number": "480-882-4809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEUBLEIN",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "551229",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.