Individual provider Active NPI

Homer Lewis Schreckengost, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1083680805
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
006906 Issued in AZ
Practice address
23359 N Pima Rd # C-149
Scottsdale, AZ 85255-8380
Phone
(724) 793-3557
Fax
(724) 821-9698
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 006906 AZ Primary

Addresses

Primary practice location

23359 N Pima Rd # C-149
Scottsdale, AZ 85255-8380

Mailing address

23359 N Pima Rd # C-149
Scottsdale, AZ 85255-8380
Phone (724) 793-3557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006906AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Jan 5, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 5, 2021 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7979 N Shadeland Ave
#350
Indianapolis, IN 46250
Phone (317) 621-5356

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1083680805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23359 N PIMA RD # C-149",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558380",
            "telephone_number": "724-793-3557",
            "fax_number": "724-821-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23359 N PIMA RD # C-149",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558380",
            "telephone_number": "724-793-3557",
            "fax_number": "724-821-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRECKENGOST",
        "first_name": "HOMER",
        "middle_name": "LEWIS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.