Active NPI
Adebisi Alli, DO
- Internal Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1073807517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 006334
- Practice address
- 13400 E Shea Blvd
Scottsdale, AZ 85259-5452 - Phone
- (480) 301-8000
- NPI assigned
- Jun 1, 2011
- Last updated
- Jan 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R1895 | AZ | |
| Internal Medicine Physician | 207R00000X | 006334 | AZ | Primary |
Addresses
Primary practice location
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Mailing address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Other practice location 1
1111 E McDowell Rd
Lower Level 2
Phoenix, AZ 85006
Phone (602) 839-2206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006334 | AZ | MD | Internal Medicine Physician |
| R1895 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1073807517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595452",
"telephone_number": "480-301-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595452",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [
{
"address_1": "1111 E McDowell Rd",
"address_2": "Lower Level 2",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "85006",
"country_code": "US",
"telephone_number": "602-839-2206",
"fax_number": "602-839-2084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLI",
"first_name": "ADEBISI",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-01",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R1895",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "006334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
- Allergy and Environmental Treatment Center, LLC
- Allergy Health Services, PLLC
- Allergy, Asthma & Immunology Associates LTD
- Allergy, Asthma, & Immunology Specialists, LTD.
- Allergy, Ear, Nose and Throat Center, LTD
- Alliance Infusions LLC
- Alliance Oncology of Arizona, LLC
- Alliance Pain Care PLC
- Sydney Allie, DMD
- Allied Center for Special Surgery, Scottsdale LLC (St. Michael's Center for Special Surgery, Scottsdale)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.