Organization Active NPI

Scottsdale Hip and Knee, LLC

  • Orthopaedic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1104550698
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SCOTTSDALE HIP AND KNEE, LLC
Practice address
10290 N 92ND St
Scottsdale, AZ 85258-4522
Phone
(480) 905-2015
Fax
(480) 716-4347
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Diane Talosig
Title
Credentialing
Phone
(480) 905-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

10290 N 92ND St
Scottsdale, AZ 85258-4522

Mailing address

8776 E Shea Blvd Ste 106
Scottsdale, AZ 85260-6687

Other identifiers 1

IdentifierTypeStateIssuer
PENDOtherPENS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drbenalbert@scottsdalehipandknee.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220908002824 AZ Part B Supplier - Clinic/Group Practice 5193109254 Receives reassigned benefits from 4 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

8776 E Shea Blvd
Ste 106533
Scottsdale, AZ 85260

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1104550698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8776 E SHEA BLVD STE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 N 92ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584522",
            "telephone_number": "480-905-2015",
            "fax_number": "480-716-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE HIP AND KNEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "TALOSIG",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "480-905-2015"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENS",
            "identifier": "PEND",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbenalbert@scottsdalehipandknee.com",
            "affiliation": "N",
            "address_1": "8776 E Shea Blvd Ste 106-533",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852606629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.