Individual provider Active NPI

Rick M Olesinski, PA-C

  • Physician Assistant
  • Avondale, AZ
National Provider Identifier
1093764672
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2523 Issued in AZ
Practice address
10450 W McDowell Rd Ste 102
Avondale, AZ 85392-4901
Phone
(602) 648-5444
Fax
(602) 772-3804
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2523 AZ
Physician Assistant 363A00000X 2523 AZ Primary

Addresses

Primary practice location

10450 W McDowell Rd Ste 102
Avondale, AZ 85392-4901

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Other identifiers 1

IdentifierTypeStateIssuer
505604MedicaidAZ

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
I20040930000531 AZ Practitioner - Physician Assistant 4486623907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of North America PLLCGroup PAC ID 7719014505, 310 clinicians

Practice addresses (Care Compare)

10450 W McDowell Rd
Suite 102
Avondale, AZ 85392-4901
Phone (623) 846-7614

14044 W Camelback Rd
Suite 120
Litchfield Park, AZ 85340-9492
Phone (623) 846-7614

5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115

6760 W Thunderbird Rd
Suite E110
Peoria, AZ 85381-5027
Phone (623) 846-7614

Hospital & facility affiliations

  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2523AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC CurrentSince Aug 13, 2021 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Aug 13, 2021 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

10450 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 846-7614

2940 E Banner Gateway Dr
#125
Gilbert, AZ 85234

140 N Litchfield Rd
Ste 110
Goodyear, AZ 85338
Phone (602) 385-0432

14044 W Camelback Rd
Ste 126
Litchfield Park, AZ 85340
Phone (623) 846-7614

14044 W Camelback Rd
Ste 120
Litchfield Park, AZ 85340
Phone (623) 846-7614

3033 N 44th St
Ste 360
Phoenix, AZ 85018

2902 W Agua Fria Fwy
Ste 1090
Phoenix, AZ 85027
Phone (620) 648-5444

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1093764672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 W MCDOWELL RD STE 102",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924901",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESINSKI",
        "first_name": "RICK",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2523",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505604",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.