Individual provider Active NPI

Adam Michael Neal, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1053903674
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8573 E Princess Dr Ste B111
Scottsdale, AZ 85255-7819
Phone
(480) 525-8999
NPI assigned
Feb 4, 2021
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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 AZ Primary

Addresses

Primary practice location

8573 E Princess Dr Ste B111
Scottsdale, AZ 85255-7819

Mailing address

8573 E Princess Dr Ste B111
Scottsdale, AZ 85255-7819
Phone (480) 525-8999

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
I20210604000534 AZ Practitioner - Physician Assistant 1254730682 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8573 E Princess Dr
Suite 111
Scottsdale, AZ 85255-7823
Phone (805) 210-5491

8573 E Princess Dr
Suite B 111
Scottsdale, AZ 85255-7819

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8385AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Medicine LLC Physician Assistant CurrentSince Apr 1, 2021 Accepting new patients
American Family Medicine LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

1514 W Thomas Rd
Phoenix, AZ 85015
Phone (602) 264-2528

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHHAD

Organizations & group practices 5

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1053903674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8573 E PRINCESS DR STE B111",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557819",
            "telephone_number": "480-525-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8573 E PRINCESS DR STE B111",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557819",
            "telephone_number": "480-525-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2023-01-10",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.