Active NPI
Scott Sholem
- Trauma Surgery Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 008470
- Practice address
- 16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356 - Phone
- (602) 996-4747
- NPI assigned
- Jun 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Surgery Physician | 208600000X | 008470 | AZ | |
| Trauma Surgery Physician | 2086S0127X | 008470 | AZ | Primary |
Addresses
Primary practice location
16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Mailing address
16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Phone (602) 996-4747
Other practice location 1
703 Main St
Department of General Surgery
Paterson, NJ 07503-2621
Phone (973) 754-2490
Other practice location 2
35 Medford St
#201
Somerville, MA 02143
Phone (617) 629-6794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007970 | Medicaid | AZ |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16601 N 40TH St
Suite 204
Phoenix, AZ 85032-3356
Phone (602) 633-3721
Hospital & facility affiliations
- Honor Health John C. Lincoln Medical Center
- Honorhealth Deer Valley Medical Center
- Mayo Clinic Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth | Current | Accepting new patients | |
| Acute Care Surgical Specialists, LLC | Current | Accepting new patients | |
| Honorhealth | Surgery | Current | Accepting new patients |
| Valley Surgical Clinics, LTD | Surgery | Current | Accepting new patients |
| Honorhealth | Past | Accepting new patients |
Locations
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
6036 N 19th Ave
Ste 208
Phoenix, AZ 85015
Phone (480) 896-9888
16601 N 40th St
Ste 204
Phoenix, AZ 85032
Phone (602) 633-3721
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
16601 N 40th St
Ste 227
Phoenix, AZ 85032
Phone (602) 633-3721
16601 N 40th St
Ste 104
Phoenix, AZ 85032
Phone (602) 633-3721
10290 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 905-2015
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
Interoperability endpoints
- scottsholem@vsc.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Phoenix, AZ
- NPI 1225311871
-
- Surgery Physician
- Scottsdale, AZ
- NPI 1801092564
-
- Prosthetic/Orthotic Supplier
- Peoria, AZ
- NPI 1386456762
-
- Surgery Physician
- Phoenix, AZ
- NPI 1962440602
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1154392231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1114188950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323356",
"telephone_number": "602-996-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323356",
"telephone_number": "602-996-4747"
}
],
"practiceLocations": [
{
"address_1": "703 Main St",
"address_2": "Department of General Surgery",
"address_purpose": "LOCATION",
"city": "Paterson",
"state": "NJ",
"postal_code": "075032621",
"country_code": "US",
"telephone_number": "973-754-2490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Medford St",
"address_2": "#201",
"address_purpose": "LOCATION",
"city": "Somerville",
"state": "MA",
"postal_code": "02143",
"country_code": "US",
"telephone_number": "617-629-6794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOLEM",
"first_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-24",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "008470",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "AZ",
"license": "008470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007970",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.