Individual provider Active NPI

Estelle R Farrell, DO

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
National Provider Identifier
1174614622
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
3223 Issued in AZ
Practice address
4921 E Bell Rd Ste 203
Scottsdale, AZ 85254-6002
Phone
(480) 955-1515
Fax
(844) 287-5554
NPI assigned
Sep 28, 2006
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 3223 AZ
Physical Medicine & Rehabilitation Physician 208100000X 3223 AZ Primary

Addresses

Primary practice location

4921 E Bell Rd Ste 203
Scottsdale, AZ 85254-6002

Mailing address

13835 N Tatum Blvd Ste 9236
Phoenix, AZ 85032-0405
Phone (480) 209-4554

Other practice location 1

2155 W St Rte 89A Ste 114
Sedona, AZ 86336-5445
Phone (480) 955-1515

Other identifiers 1

IdentifierTypeStateIssuer
449216MedicaidAZ

Other names 1

  • Dr. Estelle Farrell-Nierenberg Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address info@az-pmr.com Direct
Direct Messaging Address efarrell@org51.direct.charmhealth.com Health Information Exchange (HIE)
Direct Messaging Address valleyofthesunipm-scottsdale@org51.direct.charmhealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001319 AZ Practitioner - Physical Medicine and RehabilitationPractitioner - General Practice 5294711990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4921 E Bell Rd
Suite 203
Scottsdale, AZ 85254-6002
Phone (480) 955-1515

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley of the Sun Institute for Pain Management, PLLC Physical Medicine & Rehabilitation CurrentSince Mar 2, 2018 Accepting new patients
Emil H Annabi MD PC PastSince Feb 18, 2024 Accepting new patients

Locations

13835 N Tatum Blvd
Ste 9326
Phoenix, AZ 85032
Phone (480) 209-4554

13835 N Tatum Blvd
#9501
Phoenix, AZ 85032

13835 N Tatum Blvd
Ste 9236
Phoenix, AZ 85032

9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376

4921 E Bell Rd
Ste 203
Scottsdale, AZ 85254
Phone (480) 383-3882

2155 W State Route 89A
Ste 112
Sedona, AZ 86336
Phone (520) 262-3138

2155 W State Route 89A
Ste 114
Sedona, AZ 86336
Phone (480) 955-1515

120 Northview Rd
Ste 1
Sedona, AZ 86336
Phone (928) 527-4325

Interoperability endpoints

  • Direct secure messaging: valleyofthesunipm-scottsdale@org51.direct.charmhealth.com
  • Direct secure messaging: efarrell@pimapaincenter.gwaydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1174614622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13835 N TATUM BLVD STE 9236",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850320405",
            "telephone_number": "480-209-4554",
            "fax_number": "844-287-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 E BELL RD STE 203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546002",
            "telephone_number": "480-955-1515",
            "fax_number": "844-287-5554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2155 W St Rte 89A Ste 114",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "863365445",
            "country_code": "US",
            "telephone_number": "480-955-1515",
            "fax_number": "844-287-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "ESTELLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-11-11",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "3223",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "3223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449216",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@az-pmr.com",
            "affiliation": "N",
            "endpointDescription": "office inbox",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "4921 E Bell Rd Ste 203",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852546002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efarrell@org51.direct.charmhealth.com",
            "affiliation": "N",
            "endpointDescription": "Charm Direct Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HSIP",
            "address_1": "4921 E Bell Rd Ste 203",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852546002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "valleyofthesunipm-scottsdale@org51.direct.charmhealth.com",
            "affiliation": "N",
            "address_1": "4921 E Bell Rd Ste 203",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852546002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ESTELLE",
            "last_name": "FARRELL-NIERENBERG",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.