Individual provider Active NPI

Mark Winkler

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1134573645
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
62699 Issued in AZ
Practice address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone
(480) 301-8000
NPI assigned
Apr 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 62699 AZ Primary

Addresses

Primary practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Mailing address

13400 E Shea Blvd
Scottsdale, AZ 85259

Other practice location 1

500 J Clyde Morris Blvd Fl 2
Newport News, VA 23601-1929
Phone (757) 594-3946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, FL, CA, MI5 enrollments
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.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20210709001398 AZ Practitioner - Diagnostic Radiology 7416359666 Reassigns benefits to 2 organizations
I20220621002522 WA Practitioner - Diagnostic Radiology 7416359666 Reassigns benefits to 3 organizations
I20220718002826 FL Practitioner - Diagnostic Radiology 7416359666 Reassigns benefits to 10 organizations
I20250207003234 CA Practitioner - Diagnostic Radiology 7416359666 Reassigns benefits to 1 organization
I20250616000180 MI Practitioner - Diagnostic Radiology 7416359666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Duke University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

118 Zamora Ave
Coral Gables, FL 33134-4030
Phone (541) 618-5800

118 Zamora Ave
Apt 307
Coral Gables, FL 33134-4032
Phone (425) 563-1500

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

406 S 30TH Ave
Yakima, WA 98902-3713

425 E Macewen Dr
Osprey, FL 34229-9236
Phone (501) 664-3914

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066
  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62699AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Feb 4, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 1, 2023 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Dec 22, 2022 Accepting new patients
Msu Health Care Inc. Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Swedish Health Services CurrentSince Aug 5, 2022 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Redwood Radiology Group Inc Diagnostic Radiology CurrentSince Apr 22, 2023 Accepting new patients
Swedish Health Services CurrentSince Aug 5, 2022 Accepting new patients
County of Santa Clara Current Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 1, 2023 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Aug 3, 2022 Accepting new patients
Yakima Valley Memorial Physicians Current Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Feb 4, 2025 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Msu Health Care Inc. CurrentSince Jun 1, 2025 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Aug 3, 2022 Accepting new patients
Yakima Valley Memorial Hospital Association Past Accepting new patients
HCA Healthone LLC Past Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Providence Medford Medical Center Past Accepting new patients
Norcal Healthconnect LLC Past Accepting new patients
Asante Ashland Community Hospital, LLC Past Accepting new patients

Locations (25 of 38)

500 S University Ave
Ste 600
Little Rock, AR 72205
Phone (501) 686-2688

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

2323 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 931-7999

13400 E Shea Blvd
Scottsdale, AZ 85259

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

1625 N Campbell Ave
Tucson, AZ 85719

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

19950 Rinaldi St
Ste 101B
Porter Ranch, CA 91326
Phone (818) 496-7517

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

26357 McBean Pkwy
Ste 155
Santa Clarita, CA 91355
Phone (661) 288-5940

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

925 Corporate Cntr Pkwy
Ste A
Santa Rosa, CA 95407
Phone (707) 543-2000

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ef853cc1-94e4-4ed7-883a-9be7485e458e/

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 8

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1134573645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 J Clyde Morris Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-594-3946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINKLER",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "62699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.