Craig Barry Primack, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

29181 Issued in AZ

Practice address

10210 N 92ND St
Ste 104
Scottsdale, AZ 85258-4509

Phone

(480) 661-7161

Fax

(480) 661-1434

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Spectacular Med LLC

  • Clinical Medical Laboratory
  • Scottsdale, AZ
  • NPI 1043821051
  NPD Authorized official

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093707374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST",
            "address_2": "STE 104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584509",
            "telephone_number": "480-661-7161",
            "fax_number": "480-661-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST",
            "address_2": "STE 104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584509",
            "telephone_number": "480-661-7161",
            "fax_number": "480-661-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMACK",
        "first_name": "CRAIG",
        "middle_name": "BARRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29181",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "29181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo Andres Prichard, M.D.
• Pride Dental Group PLLC
• Pride Medical Supplies
• Pride Medical Supplies
• Jamie D Priesman, MC
• Prime Time Dental Inc
• Primebody
• Lanirose Esteban Primero, RN, FNP-C
• Primrose Primary Care and Wellness
• Jason A Primus, M.D.

• Pediatrics Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.